Objective To study the clinical effect of electric toothbrush on oral care among patients with orotreacheal intubation. Methods A total of 100 cases of orotracheal intubation were randomly divided into two groups, 50 cases in observation group and 50 cases in control group. The patients of observation group used electric toothbrush with chlorhexidine for oral care, and the patients of control group received the traditional oral care method. Results The oral cavity cleanness (80% ofⅠdegree) in the observation group were significantly better than 24% Ⅰdegree cleanness patients of the control group, while the Ⅱ and Ⅲ degree were 16% and 4% of the observation group were lower than 46% and 30% of the control group (χ2 =26. 606, 10. 519, 11. 977;P<0. 01). The 3rd day of bacteria culture obtained 28% of negative rate lower than that of 56% in the control group (χ2 =8. 046;P<0. 01). The patients of observation group utilized (9. 78 ± 1. 16) min/time compared with (8. 91 ± 0. 96) min/time (t=4. 121,P<0. 01). There was no statistical significance on the difference of adverse event rate between two groups (P>0. 05). Conclusions The clinical effect of oral care using electric toothbrush with chlorhexidine compared with patients with orotracheal intubation, the former one is better than the traditional oral care method.

Objective:To understand the current situation of scientific research ability and training needs of community nurses in China.Methods:The convenient sampling method was used to select 3 633 community nurses from 16 provinces/autonomous regions/municipalities from June to August 2021 to investigate. The contents of the questionnaire included general information, Self-Assessment Scale of Scientific Research Ability for Nursing Staff, scientific research attitude and training needs. A total of 3 633 questionnaires were recovered, of which 3 561 were valid, with an effective recovery rate of 98.0%. Univariate analysis and multiple linear regression analysis were used to analyze the influencing factors of the total score of self-assessment of scientific research ability of community nurses.Results:The total score of scientific research ability of 3 561 community nurses was 39.00 (28.00, 60.00) . The results of multiple linear regression analysis showed that nursing working years, highest education, received research courses/training, working experience in academic organizations/academic journals, participating in academic conferences or above the municipal level in the past 5 years and having plans to improve academic qualifications in the next 5 years were the influencing factors of scientific research ability of community nurses ( P<0.05) , jointly explained 15.4% of the total variance (adjusted R2=0.154, P<0.001) . Community nurses had training needs in data collection and organization, scientific research design, literature retrieval, scientific research topic selection, data statistical analysis and statistical software operation and submission skills. Conclusions:Subjective self-assessment scientific research ability and objective scientific research output of community nurses need to be improved and key scientific research talents need to be cultivated.

Objective:To evaluate the application effect of palliative care based on multidisciplinary cooperation in patients with heart failure.Methods:Randomized controlled trials of palliative care in patients with heart failure were searched by computer in PubMed, Embase, CINAHL, The Cochrane Library, China Biology Medicine disc, CNKI, Wanfang Database, VIP and other Chinese and English databases. The search time limit was from the establishment of the databases to December 31, 2020. Two researchers independently screened the literature, extracted the data and evaluated the quality. RevMan 5.4 software was used to conduct a meta-analysis of the included studies.Results:A total of 12 studies were included, including 1 402 patients. Meta-analysis results showed that compared with conventional management, palliative care based on multidisciplinary collaboration could improve quality of life of patients with heart failure ( SMD=0.72, 95% CI: 0.32-1.11, P<0.01), reduce the burden of symptoms on patients ( MD= -12.90, 95% CI: -20.25--5.54, P<0.01), and reduce depression level ( MD=-0.38, 95% CI: -3.69--0.08, P<0.05), anxiety level ( MD=-0.35, 95% CI: -0.66--0.05, P<0.05) and rehospitalization rate of patients ( RR=0.70, 95% CI: 0.57-0.86, P<0.01). There was no statistically significant difference in mortality between patients ( RR=1.02, 95% CI: 0.63-1.63, P=0.94) . Conclusions:Palliative care based on multidisciplinary collaboration can improve the quality of life of patients with heart failure, reduce the burden of symptoms, depression level and anxiety level and reduce the rehospitalization rate of patients, but it has no significant effect on reducing the mortality rate of patients. Given that palliative care is still in its infancy in China and is limited by the quality and quantity of included studies, the above conclusions need to be verified by more large-sample and high-quality studies.

Objective:To systematically synthesize the qualitative research on the attitude and experience of health care personnel towards the hospice care of patients with heart failure, so as to provide evidence support for hospice care.Methods:Qualitative research on the attitude and experience of health care personnel towards the hospice care of patients with heart failure was retrieved through computers in PubMed, Embase, Web of Science, CINAHL, China National Knowledge Infrastructure (CNKI), China Biomedical Literature Database, VIP and Wanfang. The retrieval time limit was from the establishment of the database to July 1, 2022. The quality of the included article was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia. The results were synthesized using the aggregation synthesis method.Results:Totally 15 articles were included. A total of 61 results were extracted, and 9 categories were included and 3 synthetic results were synthesized and summarized, namely, the timing of intervention, obstacle factors and promotion strategies of hospice care for patients with heart failure.Conclusions:Health care personnel should involve in hospice care in the early stage of heart failure and take into account the wishes, needs of patients and their families and prognosis of patients. Health care personnel should strengthen multidisciplinary cooperation and communication with patients and their families. Relevant departments need to provide guidance and support from the policy aspect, and strengthen the publicity and education of health care personnel, patients and their families. We will work together to integrate hospice care into the disease management of patients with heart failure, so as to improve the quality of life of patients.

Objective:To review the paper on the admittance evaluation indicators of palliative care for patients with heart failure, and clarify the admittance evaluation indicators of palliative care for patients with heart failure and corresponding evaluation criteria or tools at home and abroad.Methods:Based on the framework of the scoping review, paper retrieval was carried out through computer in PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), WanFang Database, Chinese Biomedical Literature Database and VIP. The retrieval time limit was from the establishment of the database to April 30, 2022. The original research and review on the admittance evaluation of palliative care for patients with heart failure were included, and the data were independently screened and extracted by two researchers.Results:A total of 15 papers were included. The results of document integration showed that the admittance evaluation indicators of palliative care for patients with heart failure included four categories, namely, disease progress, patient needs, medical resource utilization and medical institutions. It included 12 evaluation indicators and corresponding evaluation criteria or evaluation tools, including the patient's expected survival period, cardiac function, high-risk biomarkers, exercise status, complications, advanced treatment, patient's subjective will, complex symptom relief needs, social support needs, multiple unplanned admissions, hospital stay extension, and medical institution software and hardware resources.Conclusions:The content of the admittance evaluation indicators of palliative care for patients with heart failure is comprehensive, but the evaluation criteria for some indicators are not clear, and there is no consensus on the whole. In the future, researchers can select sensitive evaluation indicators on the basis of existing research, construct the admittance evaluation indicators of palliative care for patients with heart failure, and verify it in clinical practice, so as to promote the application of palliative care in the disease management of patients with heart failure.

Objective:To evaluate the measurement attribute of Self-Care of Heart Failure Index (SCHFI) and the methodological quality of corresponding research, so as to provide evidence basis for clinical selection and use.Methods:We searched Embase, Web of Science, CINAHL, PubMed, China National Knowledge Infrastructure and WanFang Data from the establishment of the database to March 27, 2022. The measurement attributes of the scale and the methodological quality of the research were evaluated based on the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guideline, and the final recommendation for the scale was formed by combining the evaluation results.Results:A total of 14 studies were included. SCHFI v.7.2 was a Grade A recommendation, and there was high-level evidence to support the hypothesis test of "sufficient" internal consistency and structural validity, and the middle-level evidence to support its "sufficient" content validity, structural validity and retest reliability. SCHFI v.6.2 was a Grade B recommendation, and there was high-level evidence to support the hypothesis test of "sufficient" structural validity, and the medium-level evidence to support its "sufficient" content validity, but the results of structural validity, internal consistency and retest reliability were inconsistent.Conclusions:From the existing evidence, SCHFI v.7.2 is an ideal evaluation tool for self-care of patients with heart failure. The number of relevant studies is insufficient, and the test of measurement error, calibration validity and responsiveness is lacking, which needs to be supported by high-quality evidence.

With the widespread application of immunotherapy, the overall survival rate of lung cancer patients continues to improve, and the accompanying immune-related adverse events are increasingly valued, with cardiac toxicity being the most severe. Early identification and prevention of immunotherapy-related cardiac toxicity in lung cancer patients significantly improves their quality of life. This paper summarizes the early identification (risk factors, evaluation tools, and prediction models) and preventive measures of immunotherapy-related cardiac toxicity in lung cancer patients so as to provide a reference for the early identification, prevention, and management of immunotherapy-related cardiac toxicity in lung cancer patients.