Objective To analyze the situation of the hospital humanistic caring in our country and provide a reference for the later humanistic nursing practice and research.Methods Relevant literature were searched in Chinese Biomedical Database,Wanfang Database,China National Knowledge Infrastructure from their establishment to June 2016 and analyzed with bibliometric methods.Results A total of 181 studies were included.The data analysis showed an increasing trend since 2004.Humanistic nursing was more applied to the vast general hospitals in the eastern coastal region of China(60%,108/181).Besides,the humanistic nursing researches were mainly in single department.Of the total,random control trial accounted for the most substantial proportion(61%,111/181).40%of the researchers considered the human environment,psychological care and communication as the most crucial humanistic nursing measures.Assessment index including satisfaction,psychology was mostly used to evaluate the effect of these measures.Conclusions Humanistic nursing is practiced widely.However,there are still some problems in the research methods.There are no standards of practice and evaluation,so these need to be further explored.

Objective To analyze the studies on self-management in patients with inflammatory bowel disease (IBD) in China and its development status, and provide a direction and idea for the further development of studies in this regard. MethodsRelevant literatures on self-management in IBD patients published since the database was established to May 2018 were retrieved from CNKI, WanFang Data, VIP and CBM. NoteExpress 3.2.0 and Excel 2016 were used to establish a database. External characteristics such as the year, journal and author as well as internal characteristics such as the research type, research subject and intervention measures were extracted from the literatures, and methodological quality assessment was conducted over the randomized controlled trails (RCT). ResultsTotally 87 articles about self-management in IBD patients were included in this study. The number of publications rose perpendicularly from 2014 to 2018. Totally 52 articles (65.82%) were published on the top 5 journals in terms of the total number of articles. The top 3 areas in terms of the total number of articles were Jiangsu (42), Zhejiang (10) and Guangdong (7). There were 64 (73.56%) co-authored articles in total, and 29 articles (36.71%) were supported by a grant. There were various types of intervention studies, but there was huge difference between them in intervention time and frequency and there was no complete assessment tool for outcome indicators yet. The blind method and random distribution were not stated in any RCT, and their quality needed to be improved. ConclusionsCurrently, China's studies on self-management in IBD patients are still in a rapid development stage. Both core journals, forums and authors have taken form, but researchers still need to develop a complete specificity assessment tool, apply complete outcome assessment indicators, and enhance the scientific and preciseness of research design and implementation,thus improving the quality of literatures.

Objective:To evaluate the effects of telemedicine on the quality of life in patients with inflammatory bowel disease (IBD) and provide effective evidence for the implementation of telemedicine in patients with IBD.Methods:Randomized controlled trails (RCT) involving telemedicine on improving the quality of life in patients with IBD which were published since the databases were established to September 23, 2018 were retrieved from PubMed, Web of Science, Embase, the Cochrane Library, Cumulative Index of Nursing & Allied Health Literature (CINAHL) , China Biology Medicine (CBM) , VIP, Wanfang Data and China National Knowledge Internet (CNKI) . Meta-analysis was performed by two researchers using RevMan 5.3 after independent selection of literature, extraction of data, and quality evaluation according to the inclusion and exclusion criteria of the literature.Results:Among the 741 articles identified in the initial search, totally 8 RCT were included, involving a total of 1 966 patients, including 1 067 patients in the intervention group and 899 patients in the control group. One study was of high quality and the remaining seven were of medium quality. Meta-analysis showed that the quality of life scores of patients in the telemedicine group were higher than those in the control group after intervention [ SMD=0.26, 95% CI (0.06, 0.46) , P=0.01]. Subgroup analysis of the follow-up evaluation time revealed that within 3 months of intervention, telemedicine could better improve the quality of life of patients compared with the control group [ SMD=0.56, 95% CI (0.02, 1.10) , P=0.04]. Subgroup analysis of age showed that telemedicine could better improve the quality of life of adult patients compared with the control group [ SMD=0.29, 95% CI (0.06, 0.52) , P=0.01]. Conclusions:The effects of telemedicine on the quality of life in patients with IBD are better than that of routine/standard care, but high-quality research is still needed to verify it. Telemedicine can be an effective alternative for the long-term disease monitoring, management and education of patients, and may also provide a reference for the formation of a scientific and effective community-family management model for patients with IBD.

Objective To investigate the correlation between the subjective well-being,optimism and coping mode of patients with inflammatory bowel disease(IBD). Methods A total of 159 IBD patients were surveyed and analyzed by the general information questionnaire, General Well-Being Schedule, Revised The Life Orientation Test, and Simplified Coping Style Questionnaire. Results The subjective well-being scores of IBD patients were (75.04 ± 14.32). And the Pearson analysis showed that subjective well-being scores were positively correlated with optimism scores and positive coping scores(r=0.408, P＜0.01; r=0.429, P＜0.01). Negative coping was negatively correlated with subjective well-being scores(r=-0.174, P＜0.05). Optimism had a direct positive predictive effect on subjective well-being with a path coefficient of 0.22, and coping mode was an intermediary variable of optimism and subjective well-being. Conclusion The subjective well-being of patients with IBD needs to be further improved, which is both related to optimism and coping mode. Coping mode takes effects as a mediator in optimism and subjective well-being.

Objective:To investigate the current status of primiparas′ postpartum fatigue and paternal involvement, and to explore the relationship between primiparas′ postpartum fatigue and paternal involvement, and to provide reference basis for developing targeted intervention measures to alleviate postpartum fatigue of primiparas.Methods:A cross-sectional survey was conducted on 347 primiparas from Affiliated Hospital of Yangzhou University, Yangzhou Maternal and Child Health Care Hospital from September to December 2020 by convenience sampling. The survey instruments included the general information questionnaire, the Parenting Alliance Inventory (PAI), and the Postpartum Fatigue Scale (PFS).Results:The total score of PAI was (86.51 ± 12.07) points, and the level of paternal involvement was high. The total score of PFS was (16.68 ± 4.12) points. 95.97% (333/347) of primiparas had varying degrees of postpartum fatigue. There was a significant negative correlation between paternal involvement and primiparas′ postpartum fatigue ( r=-0.327, P<0.01). The results of multiple stratified regression analysis showed that paternal involvement was included in the influencing factor model of primiparas′ postpartum fatigue, which could independently explain 9.7% variation of primiparas′ postpartum fatigue. Conclusions:The higher level of paternal involvement could predict the lower level of primiparas′ postpartum fatigue. Medical staff should pay attention to the participation level of the spouses of primiparas in childcare, and improve the participation level of the spouses of primiparas in scientific ways to alleviate the postpartum fatigue of primiparas.