?? [Abstract]? Objective? To explore the development of the research field of lateral violence among nurses in China, analyze its development, change and trend, and to provide reference for further research on lateral violence in the future. Methods? The research literature on lateral violence among nurses in China till November 2018 from CNKI, Wanfang database and VIP database were retrieved, and Endnote 7.0 document management software and Excel data management software were used to analyze systematically the retrieved documents from years, regions, authors, journals, key words and fund support,research types and research objects. Results? A total of 31 effective literature on lateral violence among nurses published in 24 journals were retrieved. The annual publication of these literature increased year by year, but the regional distribution was uneven. There were 28 first authors involved, 2 high-frequency words and limited fund support. Most of the research types were summaries, and most of the research tools were self-made questionnaires. Nursing students and nurses were the main subjects of study, studies about the influencing factors and intervention measures accounted for 50%. Conclusions? There are few studies on lateral violence among nurses in China. The types and methods of research are single and lack of scientific and unified evaluation tools. The depth and breadth of research need to be further expanded.

Objective:To explore the application effect of key node advanced nursing mode in the treatment of patients with acute myocardial infarction.Methods:In October 2020, the hospital established a Critical Control Point rescue mode management team.122 patients with acute myocardial infarction admitted to emergency department of the hospital were enrolled as the objects between October 2020 and October 2021. The healthcare failure mode and effect analysis model was applied to analyze the shortcomings of emergency process, so as to construct critical control point rescue mode in the treatment of patients with acute myocardial infarction and apply it to the clinic in November 2021. After clinical application, emergency nursing and cardiac function recovery were compared between the two groups. The mortality rate within 30 d after surgery and occurrence of complications during hospitalization were recorded.Results:The first medical contact to balloon time dropped from (81.9±6.54) min to (56.2±4.23)min. The time from first medical contact to diagnosis of acute myocardial infarction dropped from (47.3±5.68) min to (30.69±5.21) min, the door-balloon dilation time dropped from (49.79±13.84) min to (28.63±15.71) min, producing results time of myocardial injury markers dropped from (28.38±3.79)min to (19.26±2.17) min, reporting time of electrocardiogram dropped from (5.82±2.01) min to (5.14±1.89)min, and hospitalization time dropped from (7.25±2.18) min to (6.14±1.27) min, and the differences were statistically significant ( P<0.05). After treatment, left ventricular ejection fraction in observation group was higher than that in control group, left ventricular end-diastolic diameter and cardiac troponin were lower than those in control group ( P<0.05). The incidence of hypotension and malignant arrhythmia in observation group was lower than that in control group ( P<0.05). Conclusions:The critical control point rescue mode can shorten treatment time and hospitalization time in acute myocardial infarction patients, improve cardiac function, and reduce the risk of complications during hospitalization.

Extracorporeal membrane oxygenation (ECMO) provides continuous extracorporeal respiratory and circulatory support for patients with severe heart and lung failure, in order to maintain their lives. Currently, ECMO is an advanced organ support technology and its application in the clinical field of critical care is becoming increasingly common. When ECMO is implemented via percutaneous cannulation at the bilateral femoral artery and vein, the traditional patient pants cannot be used, which leads to exposure of privacy, easy catching of cold, and easy contamination of bed sheets and covers during defecation, making the patient uncomfortable and increasing the risk of infection. Changing bed sheets and covers not only increases the workload of nurses, but also easily causes pipeline displacement or slipping. It is inconvenient to observe the patient's bleeding, displacement, or dislodgement of the pipeline at any time when wearing patient pants. To solve the problems, nursing staff in the emergency intensive care unit of Henan Provincial People's Hospital have designed a protective skirt specifically designed for patients undergoing ECMO, which has obtained a National Utility Model Patent of China (patent number: ZL 2020 2 08120022.9). The special protective skirt for patients with ECMO mainly consists of a skirt body, a transparent observation window, a hip support part, and a fecal collection part. The transparent observation window is convenient for the puncture site and pipeline observation. After the hip support part is inflated, the patient can separate the perianal skin and urine and feces to avoid the occurrence of incontinence dermatitis. The fecal collection part can collect urine and feces to keep the bed unit clean. The protective skirt has a simple structure and is easy to wear and take off. While protecting patient privacy and ensuring patient comfort, it can also observe the condition of the pipeline at any time. It is suitable for patients with lower limb catheterization or urinary and fecal incontinence, and has certain clinical application and promotion value.

The evaluation of acute alcohol impairment is an important basis for evaluating the physiological and psychological status of patients and judging their treatment and nursing measures.There is a large number of research on acute alcohol impairment by foreign researchers,but there are few relevant research reports in China.This article reviews the origin,development and the evaluation tools of acute alcohol impairment in the context of emergency treatment,and summarizing its advantages and disadvantages by comparing the content,evaluation methods,applicable population,reliability and validity of each evaluation tool,in order to provide scientific references for the evaluation,treatment and nursing care of acute alcohol impairment for emergency departments in China.

Objective:To explore the effect of restraint strategies based on group standars in Intensive Care Unit (ICU) patients.Methods:From December 2020 to April 2021, 385 ICU patients admitted to Henan Provincial People's Hospital were selected by convenience sampling as the research object. The 202 patients admitted from December 2020 to January 2021 were set as the control group, and the 183 patients admitted from February to April 2021 were set as the observation group. The control group implemented routine physical restraint, and the observation group carried out the restraint strategy based on group standards. The physical restraint, the incidence of restraint-associated adverse events between the two groups, the scores of ICU nurses' Physical Restraint Practice Behavior Questionnaire and Physical Restraint Cognition Questionnaire after the improvement of physical restraint measures were compared.Results:The physical restraint time of patients in the observation group was shorter than that in the control group, and the physical restraint rate, the incidence of acral edema, the incidence of acral bruising, and the total incidence of adverse events were all lower than those in the control group, and the differences were statistically significant ( P<0.05) . After the improvement of the physical restraint measures, the scores of ICU nurses' Physical Restraint Practice Behavior Questionnaire and Physical Restraint Cognitive Questionnaire were higher than those before the improvement, and the differences were statistically significant ( P<0.05) . Conclusions:The restraint strategy based on group standards can improve the practical ability and cognitive level of ICU nurses on physical restraint of patients, and can effectively shorten the physical restraint time of ICU patients, reduce unnecessary physical restraints and the incidence of adverse events. It has a good effect in the management of ICU patients' physical restraint.

Objective:To explore the effect of nursing intervention based on nursing outcomes classification in patients with acute myocardial infarction after percutaneous coronary intervention (PCI) .Methods:From September to November 2021, a total of 86 patients with acute myocardial infarction after PCI admitted to Henan Provincial People's Hospital were selected as research subjects using convenience sampling method, and were divided into the observation group and the control group using the random number table method, with 43 patients in each group. The control group received routine nursing intervention, while the observation group received nursing intervention based on nursing outcomes classification. The incidence of complications, the scores of self-management ability, anxiety, depression, and quality of life were compared between the two groups.Results:After intervention, the incidence of complications of the observation group was lower than that of the control group, and the difference was statistically significant ( P<0.05). After intervention, the total score and dimension scores of self-management ability of the two groups were higher than those before intervention, and the scores of the observation group were higher those of the control group, with statistically significant differences ( P<0.05). After intervention, the scores of anxiety and depression of two groups were lower than those before intervention, and the scores of the observation group were lower than those of the control group, with statistically significant differences ( P<0.05). After intervention, the scores of physical function, physical pain, energy, emotional function, physical role, health status, and mental health scores of the observation group were higher than those of the control group, with statistically significant differences ( P<0.05) . Conclusions:Nursing intervention based on nursing outcomes classification can reduce the incidence of complications in patients with acute myocardial infarction after PCI, alleviate their anxiety and depression, improve their self-management ability and quality of life, which is worthy of clinical promotion and practice.