1.Research progress of latent class analysis in nursing research
Zhiling CHEN ; Tangyu CHEN ; Jiuman SHI ; Xiaomei WEI ; Sanlian HU
Chinese Journal of Modern Nursing 2023;29(27):3763-3767
With the continuous integration of the concept of "classification management" and the development of the medical and health, more and more medical researchers are paying attention to the importance of individual heterogeneity between groups. Latent class analysis (LCA) , as an emerging statistical method, has significant implications for identifying heterogeneity. This article reviews the concept and application steps of LCA, as well as its application status in the fields of chronic disease management, continuing care, nursing management, and nursing psychology research. This article also points out the advantages and limitations of LCA in the field of nursing, aiming to further deepen the understanding of LCA among nursing researchers in China and provide reference for its accurate application in nursing.
2.Summary of best evidence for perioperative nutritional management in elderly patients with hip fracture
Fanghui DONG ; Sanlian HU ; Tangyu CHEN ; Zhiling CHEN ; Qi LIN ; Huiling YUE
Chinese Journal of Modern Nursing 2024;30(6):727-734
Objective:To summarize the relevant evidence of perioperative nutritional management for elderly patients with hip fractures, so as to provide scientific guidance for clinical nursing staff to implement nutritional management.Methods:Literature related to perioperative nutrition management of elderly patients with hip fracture were systematically searched from domestic and foreign guide websites, professional association websites, as well as UpToDate, PubMed, BMJ, Web of Science, Cochrane Library, Embase, CINAHL, Chinese Medical Journal Network, Wanfang Database, CNKI and other databases. The search period was from the establishment of the databases to February 15, 2023. Three researchers conducted quality evaluation and data extraction on the literature.Results:A total of 20 articles were included, including one clinical decision, six guidelines, seven expert consensus and six systematic reviews. After extracting and integrating the evidence included in the literature, a total of 29 best pieces of evidence were finally summarized from eight aspects, such as establishing a multidisciplinary nutrition support team, nutrition risk screening, nutrition assessment and content, nutrition support goals, nutrition support methods, preoperative and postoperative nutrition support, health education and follow-up.Conclusions:This study summarizes 29 best evidence for perioperative nutrition management in elderly patients with hip fractures. Nursing staff can develop scientific and standardized perioperative nutrition management plans for elderly patients with hip fracture based on clinical conditions, improving their nutritional status and clinical prognosis.
3.Construction of a quality evaluation index system for specialty care of knee ligament injuries based on a three-dimensional quality structure model
Yiqin YANG ; Sanlian HU ; Xiaomei WEI ; Dan HE ; Weihua HOU ; Haiyan WANG ; Tangyu CHEN ; Qi LIANG
Chinese Journal of Practical Nursing 2024;40(9):692-700
Objective:To construct a nursing quality evaluation index system for knee ligament injury to provide a basis for standardizing the nursing practice and improving the nursing quality of knee ligament injury.Methods:Based on the three-dimensional quality structure model of "structure-process-outcome" proposed by Donabedian, the quality evaluation index system for knee ligament injury specialties was constructed through literature review, brainstorming, and Delphi expert consultation from April to June 2023.Results:Sixteen experts were included in the inquiry. The effective recovery rate of the two rounds of expert correspondence questionnaires was 16/16, the expert authority coefficient was 0.95, and the Kendell harmony coefficients of the expert correspondence were 0.116 and 0.122, respectively (both P<0.05). The final constructed knee ligament injury specialty care quality evaluation index system contained 3 primary indicators (structural quality, process quality and outcome quality), 16 secondary indicators, and 69 tertiary indicators.Conclusions:The specialized nursing quality evaluation index system for knee ligament injury constructed in this study is scientific and reliable, which can provide a basis for the evaluation and assessment of the nursing quality of knee ligament injury specialties and promote the continuous improvement of their nursing quality.