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Influencing factors of occupational musculoskeletal injuries in nurses from operation room

Modern Clinical Nursing.2013;(12):6-10,11. doi:10.3969/j.issn.1671-8283.2013.12.002

Objective To study the influencing factors of occupational musculoskeletal injuries(OMSI)in nurses from operation room.Method By convenience sampling,300 nurses from the operation rooms of 8 First Class Grade A hospitals in Shenzhen were involved in the study.Results The age for first onset of OMSI in the nurses was(31.6±6.8)years,with a prevalence rate of 81.3%.The back,waist and shoulder were the most vulnerable for their highest prevalence.The influencing factors included age,seniority,overweight,lack of resting time,lack of notice of muscle relaxation and physical exercise and inadequacy of post shifting.Conclusions The prevalence of OMSI in nurses from operation rooms is higher.Besides age,seniority and BMI,it is closely related with occupational risk factors and occupational management factors.

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Psychological states of chronic hepatitis B patients during family disinfection and isolation:a qualitative study

Liqiong LIU ; Weichan HAN ; Li TANG ; Xiaoxin LIANG ; Liujuan WENG ; Biqi MEI

Modern Clinical Nursing.2013;(12):43-46,47. doi:10.3969/j.issn.1671-8283.2013.12.013

Objectives To explore the psychological states of chronic hepatitis B(CHB)patients during family disinfection and isolation:a qualitative study.Method Using random sampling,10 CHB patients from the Eighth People’s Hospital of Guangzhou during Sep 2012 and Feb 2013 were selected for the investigation by way of semi-structured in-depth interviews.Results Ten patients participated in the interview and five themes were extracted:1)no special mental burden because CHB patients believed they should conduct family disinfection and isolation;2)group psychology for their lack of knowledge;3)suspecting the effect of disinfection and isolation;4)worrying about involving their families because of guilty;5)feeling isolated,self-abased,sensitive and longing for being accepted and understood.Conclusions The psychological states are complex during disinfection and isolation.So,a feasible domestic disinfection and isolation plan should be worked out.Meanwhile,enhanced mental guidance and family supports are essential for them to get rid of worries and adapt themselves into family disinfection and isolation.

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Effect of TCM five-tone therapy on chronic fatigue syndrome

Yujuan WU ; Shenghui ZHENG ; Jieqian WU ; Yuanchun JIA ; Rong XI ; Qiuxia HU ; Jian JIANG

Modern Clinical Nursing.2013;(12):40-42,43. doi:10.3969/j.issn.1671-8283.2013.12.012

Objective To study the effect of TCM five-tone therapy on chronic fatigue syndrome(CFS).Methods Fifty nine CFS patients were divided into the treatment group(n=30)and the control group(n=29),which received TCM five-tone therapy and common music therapy,respectively for 3 months.Both groups were assessed with fatigue Scale-14,depression status inventory and visual analogue scale.Result After treatment,the treatment group was scored lower than the control group in FS-14,DSI and VAS(all P<0.05).Conclusion TCM five-tone therapy may be more effective in decreasing the CFS patients with fatigue and depression and alleviating their pain symptoms.

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Application of Lactulose oral solution combined with polyethylene glycol electrolyte powder in bowel preparation for colonoscopy

Jun WANG ; Jiaqi RAO ; Ying LIU

Modern Clinical Nursing.2013;(12):35-36,37. doi:10.3969/j.issn.1671-8283.2013.12.010

Objectives To study the effect of Lactulose oral solution combined with polyethylene glycol electrolyte powder on the intestinal cleanness.Methods One hundred and twenty patients undergoing electronic colonoscopy were divided into the experiment group and the control group,60 cases in each group.The experiment group orally took Lactulose oral solution and polyethylene glycol electrolyte powder 1d before the check,while the control group polyethylene glycol electrolyte powder 1d before the check.The two groups were compared in terms of intestinal cleanness and adverse reactions.Results The experiment group was significantly better than the control group in intestinal cleanness(P>0.05)and there were no significant difference has in adverse reactions(P>0.05).Conclusion The combined use of polyethylene glycol electrolyte powder and Lactulose Oral Solution may improve the intestinal cleanness and reduce the incidence of adverse reactions.

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Nursing of children dermatomyositis complicated with interstitial pneumonia

Qi WANG ; Lihua WU

Modern Clinical Nursing.2013;(12):29-31,32. doi:10.3969/j.issn.1671-8283.2013.12.008

Objectives To summarize the experience of nursing care to children with dermatomyositis complicated with interstitial pneumonia.Methods The nursing histories of 11 cases of children dermatomyositis complicated with interstitial pneumonia were retrospectively looked into for summarizing the nursing measures.Results The diseases were both effectively controlled in all the children,who were given maintenance therapy by oral taking of hormone after discharge.Conclusion Such nursing measures as close observation of disease,enhanced nursing and first aid of respiratory failure,nursing of infection and secondary infection,care after mesenchymal stem cells transplantation,strengthened disinfection and isolation,are of significance for controlling the disease.

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Preventive effect of feedforward control on unexpected extubation in patients with cerebral apoplexy

Qun KANG ; Xiaohong CHU ; Xiaobin JIA

Modern Clinical Nursing.2013;(10):23-25,26. doi:10.3969/j.issn.1671-8283.2013.10.007

Objective To explore the preventive effect of feedforward control on unexpected extubation in patients with cerebral apoplexy.Methods The clinical data of 42 cerebral apoplexy patients during May 2010 and May 2011 were retrospectively reviewed to find out the risk factors of unexpected extubation.The feedforward control was used to manage 49 cerebral apoplexy patients during June 2011 to June 2012 to control the risk factors.The incidence of unexpected extubation was compared between pre-and post-use of feedforward control. Results After application of feedforward control,the incidences of unexpected extubation of gastric tube,deep vein tubes and urinary tubes reduce were significantly decreased compared to pre-use of feedforward control(all P<0.01).Conclusion The feedforward control on patients with cerebral apoplexy is effective in reducing the incidence of unexpected extubation and ensuring the intubation safety.

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A survey of caring behavior status of nurses in psychiatric hospitals

Zhaohong QU

Modern Clinical Nursing.2013;(10):10-12,13. doi:10.3969/j.issn.1671-8283.2013.10.003

Objective To investigate the caring behavior status of nurses in psychiatric hospitals.Method One hundred and ninety eight nurses from psychiatric hospitals were investigated by caring behavior scale(CBS).Results The average score of the nurses on caring behaviors was(54.75±12.07),with 3 dimensions of“helping the patient through the unstable period(2.11±0.51), safeguarding the patient rights and interests(1.67±0.46)and understanding the patient needs(1.75±0.62).Conclusions Nurses in psychiatric hospital are poor at caring behavior,so the incentive mechanism for the mental hospital nurses should be adopted.In order to improve the nurses caring behaviors,various measures such as professional and systematic training should be done to improve their caring-giving behaviors.

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Qualitative research of the opinions of clinical nurses to current nursing quality evaluation

Jing WANG ; Yan SHI

Modern Clinical Nursing.2013;(1):7-9,10. doi:10.3969/j.issn.1671-8283.2013.01.002

Objective To study the views of clinical nursing staff about current nursing quality evaluation so as to find the problems in nursing quality evaluation.Method 25 head nurses and nurses were interviewed using semi-structured open interview about nursing quality evaluation.Result The current nursing quality evaluation system was lower in sensitivity,focusing more on nursing skills but less on nursing evaluation of nursing specialties.Conclusions The system of current nursing quality evaluation lacks of nursing evaluation of nursing specialties and therefore cannot meet the requirements for the development of nursing specialty. Therefore,it is urgent to regulate an evaluation system for nursing specialties.

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Investigation of working situation of community nurses and care needs of the residents in a prefecture-level city

Lifen CHEN ; Zhenlu ZHANG ; Ruijuan CHEN ; Ping YU ; Huanxin HUANG ; Landi WU

Modern Clinical Nursing.2013;(1):17-19,20. doi:10.3969/j.issn.1671-8283.2013.01.005

Objective To survey the working situation of community nurses and care needs of the residents in a prefecture-level city.Method One hundred and thirty-five community nurses and 338 residents were selected and investigated by self-designed questionnaire.Results Community nurses still focused on the area of nursing and treatment rather than prevention,rehabilitation, health care,health education and family planning,which need to be paid more attention to.The needs of residents on community nursing service shift from disease treatment to disease prevention and health promotion.The current community nursing service cannot satisfy residents’care needs.Conclusion Community nurses should provide demand-oriented community care to the residents, strengthen the concept of disease prevention and health promotion,and set up community health centers to be a blend of prevention, health care,rehabilitation,health education and family planning as soon as possible.

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Influence of self-management and education on behaviors of medical compliance of the patients undergoing vitrectomy combined with tamponade

Dan YANG ; Zongrong TAO ; Ting DENG ; Jing YANG ; Xiaoqin MA

Modern Clinical Nursing.2013;(9):28-30. doi:10.3969/j.issn.1671-8283.2013.09.008

Objective To investigate the influence of self-management and education on behaviors of medical compliance of patients undergoing vitrectomy combined with tamponade.Methods Sixty-four patients undergoing vitrectomy combined with tamponade were randomized equally into the control group and observation group in the order of admission.The control group received routine care and health education,while the observation group received self-management education follow-ups besides the routine nursing.The two groups were compared in terms of the cumulative time of the correct position,compliance behavior and the incidence of postoperative complications.Results The cumulative time of the correct position of observation group was longer than that of the control group after operation.The observation group did better in compliance behavior than the control group and the incidence of postoperative complications in the former group was lower than the latter(P<0.05).Conclusion Self-management and education can enhance patients’behaviors in medical compliance and decrease postoperative complications and promote the success of the surgery.

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