1.Exercise management in patients with chronic nonspecific low back pain:a summary of best evidence
Liqing WANG ; Guiyun MA ; Bokun SHANG ; Jieling LUO
Modern Clinical Nursing 2025;24(1):77-84
Objective To retrieve,evaluate and summarise the best evidence for exercise management in patients with chronic non-specific low back pain,and to provide an evidence-based knowledges for healthcare professionals in clinical practice.Methods According to"6S"model systematic searches on BMJ Best Practice,UpToDate,Joanna Briggs Institute evidence-based Healthcare Centre Database,Cochrane library,World Health Organization,National Institute for Health and Care Excellence,Registered Nurses'Association of Ontario,Guideline International Network,Canadian Medical Association Clinical Practice Guidelines Infobase,Scottish Intercollegiate Guidelines Network,New Zealand Guidelines Group,Agency for Healthcare Research and Quality,Medlive,the North American Spine Society,Chinese Association for the Study of Pain,American Society of Pain and Neuroscience,PubMed,CINAHL,Embase,Web of Science,China National Knowledge Infrastructure,Wanfang Data,VIP,SinoMed in exercise management for patients with chronic nonspecific low back pain,expert consensus,systematic reviews,clinical decisions and evidence summaries were conducted,with a search timeframe of the inception of databases to 29 th February 2024.Two graduate nursing students trained in systematic evidence-based methodology independently conducted literature quality assessment,evidence review and extraction using literature quality assessment tools such as the JBI Centre for Evidence-Based Healthcare,and consolidated the evidence after discussion by the evidence-based research team.Results A total of 15 papers were included in the literature,including 5 guidelines,3 expert consensus,1 systematic review,4 evidence summaries and 2 clinical decisions,and 31 pieces of evidence were summarised,including 6 aspects of exercise assessment,the type,frequency and intensity of exercise,precautions and health awareness.Conclusion This study summarises the best evidence for exercise management in patients with chronic nonspecific low back pain,and provides an evidence-based knowledges for the care of patients in hospital,community or at home.
2.Exercise management in patients with chronic nonspecific low back pain:a summary of best evidence
Liqing WANG ; Guiyun MA ; Bokun SHANG ; Jieling LUO
Modern Clinical Nursing 2025;24(1):77-84
Objective To retrieve,evaluate and summarise the best evidence for exercise management in patients with chronic non-specific low back pain,and to provide an evidence-based knowledges for healthcare professionals in clinical practice.Methods According to"6S"model systematic searches on BMJ Best Practice,UpToDate,Joanna Briggs Institute evidence-based Healthcare Centre Database,Cochrane library,World Health Organization,National Institute for Health and Care Excellence,Registered Nurses'Association of Ontario,Guideline International Network,Canadian Medical Association Clinical Practice Guidelines Infobase,Scottish Intercollegiate Guidelines Network,New Zealand Guidelines Group,Agency for Healthcare Research and Quality,Medlive,the North American Spine Society,Chinese Association for the Study of Pain,American Society of Pain and Neuroscience,PubMed,CINAHL,Embase,Web of Science,China National Knowledge Infrastructure,Wanfang Data,VIP,SinoMed in exercise management for patients with chronic nonspecific low back pain,expert consensus,systematic reviews,clinical decisions and evidence summaries were conducted,with a search timeframe of the inception of databases to 29 th February 2024.Two graduate nursing students trained in systematic evidence-based methodology independently conducted literature quality assessment,evidence review and extraction using literature quality assessment tools such as the JBI Centre for Evidence-Based Healthcare,and consolidated the evidence after discussion by the evidence-based research team.Results A total of 15 papers were included in the literature,including 5 guidelines,3 expert consensus,1 systematic review,4 evidence summaries and 2 clinical decisions,and 31 pieces of evidence were summarised,including 6 aspects of exercise assessment,the type,frequency and intensity of exercise,precautions and health awareness.Conclusion This study summarises the best evidence for exercise management in patients with chronic nonspecific low back pain,and provides an evidence-based knowledges for the care of patients in hospital,community or at home.
3.Sinicization and reliability and validity testing of the Breast-feeding Social Support Scale
Tian SUN ; Shuo LI ; Bokun SHANG ; Chanzhi DUAN ; Yan WANG ; Qing LI
Chinese Journal of Modern Nursing 2024;30(12):1556-1561
Objective:To translate the Breast-feeding Social Support Scale (BSSS) into Chinese and to test its reliability and validity.Methods:This study was a cross-sectional study. The scale was sinicized using guideline for the cultural adjustment process recommended by American Academy of Orthopaedic Surgeons Evidence Based Medicine Committee. Using cluster sampling method, a total of 535 puerpera registered in 17 community health service centers in four communities of Chengde City were selected as the research objects from April to August 2023 to evaluate the reliability and validity of the scale. Critical ratio method and correlation coefficient method were used to analyze the item analysis of the scale. Internal consistency reliability, split-half reliability and retest reliability were used to test the reliability of the scale. The content validity index of item level and content validity index of scale level were used to test the content validity of the scale. Exploratory factor analysis and confirmatory factor analysis were used to test the structural validity of the scale.Results:A total of 535 questionnaires were sent out in this study, and 521 were effectively collected, with an effective recovery rate of 97.4% (521/535). The Chinese version of BSSS consisted of 11 items, and three common factors were extracted from the exploratory factors, and the cumulative variance contribution rate was 63.183%. The results of confirmatory factor analysis showed that the structural model of the three factors fit well. The Cronbach's α coefficient of the total scale was 0.866, the retest reliability coefficient was 0.815 and the split-half reliability coefficient was 0.813. The content validity index at the item level of the scale was 0.830-1.000, and the content validity index at the scale level was 0.820.Conclusions:The Chinese version of BSSS has good reliability and validity, which can be used as an evaluation tool for the social support level of breast-feeding in China.

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