Journal Detail Information

1

Cite

Share

An expert consensus on discharge preparation services for psychiatric patients with depression

Chinese Journal of Modern Nursing.2024;30(31):4201-4207. doi:10.3760/cma.j.cn115682-20240204-00701

Objective:To form an expert consensus on discharge preparation services for psychiatric patients with depression (referred to as the" Consensus") and standardize the relevant content of discharge preparation services for psychiatric patients with depression. Methods:The initial consensus draft was formed by searching, evaluating, and summarizing evidence on discharge preparation services for psychiatric patients with depression, extracting recommendations and research conclusions. Through two rounds of expert consultation and two expert discussion meetings, combined with expert opinions, the initial draft was revised and improved to form a consensus final draft.Results:In the two consultation rounds, experts' positive coefficient was 100.00% (20/20), and the authoritative coefficients of experts were 0.798 and 0.800, respectively. The importance assigned to each indicator was more significant than 3.50 points, and the coefficient of variation was less than 0.25. The Kendall harmony coefficients of experts were 0.557 and 0.570, respectively (both P<0.05). A consensus recommendation was reached on the seven aspects of discharge preparation services for psychiatric patients with depression, including application population, intervention forms, intervention time, evaluation methods, plan formulation, implementation process and content, and effectiveness evaluation. Conclusions:The Consensus can provide theoretical guidance for the practice of discharge preparation services for psychiatric patients with depression.

2

Cite

Share

Summary of the best evidence for management of fatigue related symptom clusters in HIV/AIDS patients

Dan XU ; Jianghui ZHANG ; Lan SHEN ; Xiaodan DU ; Yeyin QIU ; Yanxia SUN

Chinese Journal of Modern Nursing.2024;30(31):4208-4215. doi:10.3760/cma.j.cn115682-20240119-00386

Objective:To summarize the best evidence for the management of fatigue-related symptom clusters in HIV/AIDS patients.Methods:According to the "6S" model, clinical decisions, guidelines, expert consensus, systematic reviews, Meta-analysis, evidence summary, and randomized controlled trials on the management of fatigue-related symptom clusters of HIV/AIDS patients were searched from top to bottom in BMJ Best Practice, UpToDate, Joanna Briggs Institute Evidence-Based Health Care Center Database, Agency for Healthcare Research and Quality, National Institute for Health and Clinical Excellence, Medlive, Joint United Nations Programme on HIV/AIDS, Cochrane Library, PubMed, Embase, China National Knowledge Infrastructure, WanFang data, China Biology Medicine disc and other databases and websites. The search period was from January 1, 2017, to July 30, 2023. Two researchers independently used corresponding quality evaluation tools to evaluate the methodological quality of the included literature. They extracted and summarized the best evidence for the management of fatigue-related symptom clusters in HIV/AIDS patients.Results:A total of 20 articles were included, including seven clinical decisions, three guidelines, two evidence summaries, one expert consensus, three systematic reviews, and four randomized controlled trials. Thirty-four pieces of evidence were summarized from four aspects: fatigue management, frailty management, sexual dysfunction management, and sleep disorder management.Conclusions:This study summarizes the best evidence for the management of fatigue-related symptom clusters in HIV/AIDS patients. Medical and nursing staff must select and apply the evidence in a targeted manner based on clinical situations.

3

Cite

Share

Development of a limb function exercise program for patients on extracorporeal membrane oxygenation

Mengjie LU ; Suxia SHI ; Yanhua CAO ; Jialin LIN

Chinese Journal of Modern Nursing.2024;30(31):4216-4223. doi:10.3760/cma.j.cn115682-20240104-00075

Objective:To develop a limb function exercise program for patients on extracorporeal membrane oxygenation (ECMO) and provide theoretical guidance for clinical nursing staff.Methods:A research team was formed to systematically review domestic and international literature on functional exercise for ECMO patients, extracting relevant evidence to form the initial version of the limb function exercise program. From June to July 2023, the Delphi method was used to conduct two rounds of expert consultations with 18 experts from three provinces and municipalities directly under the central government, including Shanghai, Jiangsu, and Shanxi. Based on the experts' feedback, the program items were revised to form the final version of the exercise program.Results:In the first round, 18 experts were consulted, with a valid response rate of 94.44% (17/18); in the second round, 17 experts participated, with a 100.00% (17/17) response rate. The expert authority coefficient was 0.859 in both rounds. The coefficient of variation for each level of indicator in the second round ranged from 0 to 0.160, and Kendall's coefficient of concordance was 0.092 to 0.130 ( P<0.01). The final ECMO patient limb function exercise program consisted of four primary indicators (preparation, assessment, exercise methods, and safety monitoring), 13 secondary indicators, and 44 tertiary indicators. Conclusions:The ECMO patient limb function exercise program developed in this study is scientifically sound and reliable, offering a reference and guidance for the implementation of limb function exercises for ECMO patients.

4

Cite

Share

Supportive care needs of families of children with retinoblastoma: a qualitative study

Xiaoxiao YANG ; Jinghua LIU ; Zhangfang MA ; Wanxia ZHANG ; Ya WANG ; Jing ZHANG ; Yuanyuan ZHANG

Chinese Journal of Modern Nursing.2024;30(31):4224-4228. doi:10.3760/cma.j.cn115682-20240111-00233

Objective:To gain a deep understanding of the supportive care needs of families of children with retinoblastoma (RB) through qualitative research.Methods:From March to May 2022, a semi-structured interview was conducted using purposive sampling to select the family members of 15 RB children in the Department of Eye Tumor of Beijing Tongren Hospital affiliated to Capital Medical University. Colaizzi 7-step analysis method was used to refine, extract, and analyze interview data.Results:The supportive care needs of the families of RB children were summarized into three themes and six sub-themes, namely, psychological needs (emotional listening and psychological support), knowledge needs (disease knowledge needs, children's post discharge guidance, internet resource needs), and economic needs (social resource integration) .Conclusions:RB, as a malignant eye tumor, often brings a heavy burden to families. Family members of children generally experience negative emotions such as anxiety and depression, as well as a lack of knowledge. The economic burden on families is heavy, and there is a high demand for supportive care. The supportive care program for families of RB children is not yet perfect, and nurses should provide emotional support and professional assistance to the families, providing help and guidance in psychological counseling, knowledge needs, economic assistance, and other aspects.

5

Cite

Share

Mediating effect of self-rated health and aging attitudes on the relationship between life space and psychological distress among community-dwelling older adults

Xia YANG ; Weihua YU ; Yuxi ZHANG ; Man DENG ; Ying REN ; Haiyan ZHANG ; Li ZHANG

Chinese Journal of Modern Nursing.2024;30(31):4229-4234. doi:10.3760/cma.j.cn115682-20240208-00779

Objective:To explore the chain mediating effect of self-rated health and aging attitudes on the relationship between life space and psychological distress of community-dwelling older adults.Methods:From August to November 2023, convenience sampling was used to select older adults from three communities of Baohe District in Hefei City as subjects. General Information Questionnaire, Life Space Assessment (LSA), Self-Rated Health (SRH), Attitudes to Aging Questionnaire (AAQ), and 10-item Kessler Psychological Distress Scale (K10) were used for the survey. Spearman correlation was used to analyze the correlation between life space and self-rated health, aging attitudes, and psychological distress. Process macro program of SPSS 25.0 software was used to test for mediating effects.Results:A total of 700 questionnaires were distributed and 669 valid questionnaires were collected, with a valid response rate of 95.57%. Among 669 community-dwelling older adults, the LSA, SRH, AAQ, and K10 scores were (74.35±19.39), (3.23±0.96), (80.66±13.43), and (19.29±6.26), respectively. Spearman correlation analysis showed a positive correlation between life space and attitudes to aging ( rs=0.568, P<0.01) and negative correlations between life space and self-rated health and psychological distress ( rs=-0.334 and -0.455; both P<0.01). The mediating effect test showed that self-rated health and aging attitudes had chain mediating effects on life space and psychological distress, with a mediating effect value of -0.053, accounting for 11.60% of the total effect. Conclusions:Life space can not only directly affect the psychological distress of community-dwelling older adults but also indirectly predict psychological distress through the mediating effect of self-rated health and aging attitudes.

6

Cite

Share

Summary of the best evidence for external auditory canal irrigation in patients with cerumen embolism

Ruya YUAN ; Wei XU ; Xiaolu YANG ; Yanling DENG ; Xiaochang HUANG ; Xiaofen LI ; Chengcheng LIU ; Lijing HU

Chinese Journal of Modern Nursing.2024;30(31):4234-4240. doi:10.3760/cma.j.cn115682-20240104-00089

Objective:To summarize the best evidence for external auditory canal irrigation in patients with cerumen embolism.Methods:The clinical decisions, guidelines, systematic reviews, expert consensus, group standards, evidence summaries, and randomized controlled trials regarding external auditory canal irrigation in patients with cerumen embolism were retrieved from databases and websites such as BMJ Best Practice, UpToDate, Guidelines International Network, National Institute for Health and Clinical Excellence, Joanna Briggs Institute Evidence-Based Health Care Center Database, PubMed, Embase, China National Knowledge Infrastructure, WanFang data, and China Biology Medicine disc. The search period was from database establishment to February 15, 2023. Six researchers screened the literature, evaluated the methodological quality, and extracted and summarized the best evidence for external auditory canal irrigation in patients with cerumen embolism.Results:A total of nine articles were included, including one clinical decision, two guidelines, two systematic reviews, one group standard, and three randomized controlled trials. Sixteen pieces of evidence were summarized from six aspects of operators: pre-operation evaluation and preparation, operation process, post-operation handling, health education, and adverse reactions during operation.Conclusions:This paper summarizes the best evidence for external auditory canal irrigation in patients with cerumen embolism. Medical and nursing staff should carefully select and apply evidence based on clinical scenarios and patient's wishes.

7

Cite

Share

Best evidence for the application management of over-the-counter medications for constipation in the elderly

Jingjing LI ; Liu HAN ; Xueyan FAN ; Qiushuang YU ; Yiyi YIN ; Jianni QU ; Yufang HAO ; Dahua ZHANG

Chinese Journal of Modern Nursing.2024;30(31):4241-4246. doi:10.3760/cma.j.cn115682-20240123-00453

Objectives:To search, evaluate, and summarize the evidence related to the application management of over-the-counter (OTC) medications for constipation in the elderly, providing evidence-based support for the rational use of these medications.Methods:A systematic search was conducted through computerized decision support systems, guideline websites, professional association websites, and databases for clinical decisions, guidelines, evidence summaries, and expert consensus on the management of OTC medications for constipation in the elderly. The search period spanned from January 2018 to March 2023. The quality of the literature was independently assessed, and evidence was extracted. The 2014 version of the Joanna Briggs Institute (JBI) evidence grading system was used to determine the levels of evidence.Results:A total of 18 article were included, consisting of two clinical decisions, five guidelines, seven expert consensus statements, and four evidence summaries. These covered five areas: medication principles for elderly individuals with different characteristics, medication selection, medication monitoring, health education, and precautions, culminating in a total of 30 best evidence.Conclusions:This study summarizes the best evidence for the management of OTC medications for constipation in the elderly, providing evidence-based support for the rational application of these medications.

8

Cite

Share

Visual bibliometric study on symptom clusters in patients with head and neck tumors

Yu ZHANG ; Lixia KUANG ; Xiaoqin BI

Chinese Journal of Modern Nursing.2024;30(31):4247-4254. doi:10.3760/cma.j.cn115682-20240123-00445

Objective:To analyze the current status, development trends, and gaps in studies on symptom clusters in patients with head and neck tumors using bibliometric methods.Methods:Relevant literature on symptom clusters in patients with head and neck tumors was retrieved from databases including China National Knowledge Infrastructure, WanFang data, China Biology Medicine disc, Web of Science Core Collection, PubMed, and Scopus. A visual analysis of the literature content was conducted.Results:A total of 37 studies were included. The studies primarily focused on patients with nasopharyngeal carcinoma. Symptom clusters in patients with head and neck tumors demonstrated dynamic variability. Emerging trends in this field include nutrition-related symptom clusters, symptom interventions, and the identification of core symptoms. However, current studies still exhibit limitations, such as using singular research tools and clustering methods and a lack of exploration of internal mechanisms.Conclusions:Future research should focus on improving study design through multidisciplinary collaboration, utilizing data mining techniques to systematically explore the internal mechanisms of symptom clusters in patients with head and neck tumors, identifying symptom intervention targets, and conducting high-quality intervention studies to verify the reliability and effectiveness of these targets and interventions.

9

Cite

Share

Construction and validation of a cognitive frailty risk prediction model in elderly patients with type 2 diabetes

Yun LIU ; Yuanyuan SUN ; Shen WANG ; Lirong WEI ; Yanan WANG ; Yan HE ; Qingxiu TIAN ; Xiaoxia DU ; Ridong XU

Chinese Journal of Modern Nursing.2024;30(31):4254-4261. doi:10.3760/cma.j.cn115682-20240201-00641

Objective:To develop and validate a risk prediction model for cognitive frailty in elderly patients with type 2 diabetes.Methods:A total of 483 elderly patients with type 2 diabetes who visited Tianjin First Central Hospital from June to December 2022 were selected using convenience sampling. They were randomly divided into a modeling group ( n=338) and a validation group ( n=145). Data were collected using a self-designed general information questionnaire, the Short-Form Mini Nutritional Assessment (MNA-SF), the Geriatric Depression Scale-15 (GDS-15), the Frailty Phenotype (FP), the Montreal Cognitive Assessment (MoCA), and the Clinical Dementia Rating (CDR). Logistic regression analysis was performed to identify the influencing factors. A cognitive frailty risk prediction nomogram model was constructed based on the results. The model was validated in the validation group, and its predictive performance and clinical applicability were evaluated using the area under the receiver operating characteristic curve ( AUC), calibration curve, and clinical decision curve analysis. A total of 483 questionnaires were distributed and all were returned as valid, resulting in a 100.0% response rate. Results:The prevalence of cognitive frailty in the 483 elderly patients with type 2 diabetes was 20.3% (98/483). Age, regular exercise, duration of diabetes, HbA1c levels, depression and nutritional status were identified as predictive factors in the model. The AUC of the model was 0.886, and the Hosmer-Lemeshow test showed a χ 2 value of 8.004 ( P=0.433). The optimal cutoff value was 0.335, and the accuracy was 89.0%. Conclusions:The prediction model demonstrates good fit and strong predictive performance, and can intuitively and easily identify elderly patients with type 2 diabetes who are at high risk of cognitive frailty, providing a reference for early screening and intervention.

10

Cite

Share

Effects of mind-body exercise on breast cancer patients: a Meta-analysis

Yan XUE ; Ping YU ; Kaili LYU

Chinese Journal of Modern Nursing.2024;30(31):4262-4269. doi:10.3760/cma.j.cn115682-20240115-00299

Objective:To evaluate the effects of mind-body exercise on breast cancer patients using a Meta-analysis.Methods:Randomized controlled trials (RCTs) on the effects of mind-body exercises on breast cancer patients were systematically searched in PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, WanFang data, VIP, and China Biology Medicine disc, with a search period from database inception to November 30, 2023. The references of the included studies were also reviewed. After two reviewers independently screened the literature, extracted information, and evaluated the quality of the included studies, a Meta-analysis was performed using RevMan 5.3 software.Results:A total of 23 RCTs involving 1 730 breast cancer patients were included. The Meta-analysis showed that, compared to conventional care, mind-body exercise significantly reduced anxiety in breast cancer patients [ SMD=-0.46, 95% CI (-0.71, -0.21), P<0.01], as well as in those undergoing chemotherapy [ SMD=-0.30, 95% CI (-0.54, -0.07), P=0.01]. Mind-body exercise also alleviated depression in breast cancer patients. Subgroup analysis found that the Baduanjin group [ SMD=-1.13, 95% CI (-1.63, -0.64), P<0.01] was more effective in alleviating depression than the yoga group [ SMD=-0.24, 95% CI (-0.41, -0.07), P<0.01]. However, there was no statistically significant effect of mind-body exercise on improving the quality of sleep in breast cancer patients [ SMD=-0.41, 95% CI (-0.89, 0.06), P=0.09]. In terms of the effect of mind-body exercise on fatigue levels in breast cancer patients, subgroup analysis showed that Baduanjin [ SMD=-0.91, 95% CI (-1.26, -0.55), P<0.01] and Tai Chi [ SMD=-0.57, 95% CI (-0.92, -0.21), P<0.01] significantly reduced fatigue levels, while yoga [ SMD=-0.43, 95% CI (-0.98, 0.12), P=0.13] did not show a statistically significant effect on reducing fatigue levels in breast cancer patients. Conclusions:Mind-body exercises can reduce anxiety and depression and alleviate the level of fatigue in breast cancer patients. However, the effects of different exercise modalities on improving sleep quality in breast cancer patients vary.

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share