Objective To strengthen the supervision of medical equipment procurement and construct a scientific and systematic evaluation system for procuring agency supervision,providing a reference for public hospitals to implement government procurement of medical equipment.Methods The Delphi method was employed to establish the indexes and weights of the su-pervision evaluation system.Subsequently the fuzzy comprehensive evaluation method was applied to comprehensively analyze the procuring agencies X and Y.Results The evaluation results of agencies X and Y were compared and analyzed in terms of work efficiency,business capability,organization of bid evaluation,and service quality.Additionally,the results were regularly fed back and improved.Conclusion The establishment of the supervision and evaluation system for procuring agencies is conducive to promoting the standardization and efficiency of government procurement activities of medical equipment in public hospitals and safeguarding the legitimate rights and interests of procurement participants as well as the public interests.

Objective:To summarize the research status and contents of the needs of breast cancer patients undergoing first operation.Methods:The articles related to the needs of patients undergoing first surgery for breast cancer were searched by computer in PubMed, Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure, Wanfang Database, VIP and China Biology Medicine disc. The search period was from January 1, 2013 to December 31, 2022.Results:A total of 17 articles were included, and the research design mainly focused on qualitative and observational studies. Breast cancer patients with first operation had a high degree of demand, and the demand content was diverse, mainly including information needs, health guidance needs, emotional needs and social support needs. The needs of breast cancer patients with different ages and different treatment stages were different.Conclusions:It is suggested that a personalized needs intervention plan should be formulated to meet the diversified needs of breast cancer patients.

Objective:To comprehensively collect the clinical research evidence of Wuqinxi, and provide reference for the future clinical research.Methods:China National Knowledge Infrastructure (CNKI), WanFang Database, VIP, China Biology Medicine disc (CBM), PubMed, Embase, Cochrane Library, and Web of Science were searched. The retrieval time limit was from the establishment of each database to March 31, 2021. After screening and extracting, SPSS 22.0 was used to analyze the basic characteristics, sample size, control and intervention measures, outcomes.Results:Totally 230 studies were included, of which 58.26% (134/230) were randomized controlled trial. The top 6 diseases were chronic obstructive pulmonary disease, osteoporosis, cervical pain, low back pain, diabetes and knee osteoarthritis. Common outcome included four items of blood lipid tests, blood glucose, immunological indicators and the evaluation of disease-related symptoms, such as pain, sleep and range of motion. The median frequency of Wuqinxi was once a day, 45 minutes each time, 5 days a week and lasted for 3 months. 94.78% (218/230) of the studies reported positive results. The safety and compliance of Wuqinxi intervention were good.Conclusions:The number of clinical studies on Wuqinxi is significantly less than Baduanjin and Taijiquan. It is necessary to formulate the report specification of intervention measures for Wuqinxi, so as to report the intervention plan of Wuqinxi more clearly and transparently.

Objective:To systematic review the efficacy and safety of external application of traditional Chinese medicine on treatment of breast cancer related lymphedema.Methods:CNKI, Wanfang Data, VIP, Sino-Med, The Cochrane Library, PubMed, Web of Science were searched for related randomized controlled trials, the retrieval time was from inception to May 25, 2020. Two researchers independently screened and evaluated the included studies. Meta-analysis was performed by RevMan 5.4 software.Results:A total of 16 studies involving 1 315 patients with breast cancer related lymphedema were included, and the methodological quality of the included studies was not high. Compared with conventional treatment, external application of traditional Chinese medicine combined with conventional treatment had advantages in improving the total efficiency( P<0.01) and quality of life( P<0.01), reducing pain( P<0.01) and improving upper limb function( P<0.01), without obvious adverse reactions( P>0.05), but there was no improvement in depression( P>0.05). Compared with conventional treatment, external application of traditional Chinese medicine could improve the total efficiency( P<0.01). Compared with placebo sticker combined with conventional treatment, external application of traditional Chinese medicine combined with conventional treatment can reduce circumference( P<0.05) and reduce pain( P<0.01), without obvious adverse reactions( P>0.05). Conclusions:Available evidence suggests that external application of traditional Chinese medicine may be a potential treatment method for breast cancer related lymphedema. Due to the poor methodological quality of the included studies, high-quality randomized controlled trials are still needed.

Objective:To conduct a bibliometric analysis of the implementation research of the normalization process theory in the nursing field, so as to provide a reference for future in-depth research.Methods:We searched the China National Knowledge Infrastructure, WanFang, VIP, Biomedical Literature Database, PubMed, Web of Science, Embase, Proquest, Cochrane Central Register of Controlled Trials and CINAHL. The search period was from the establishment of the database to June 18, 2021, to collect all researches related to the normalization process theory in the nursing field. The year of publication, country or region and research institution of the article, fund project, research type and subject of the article were extracted and analyzed statistically.Results:A total of 154 articles were included, with the publication period from 2010 to 2021, of which 61.69% (95/154) were from the UK. The research scholars were mainly from colleges and universities, and 62.34% (96/154) of the research was qualitative research. The clinical disease spectrum included 18 diseases, which were distributed in 9 disease systems, and there were 3 diseases with an article frequency of more than 10 times, which were mental and behavioral disorders, endocrine, nutritional and metabolic diseases, and circulatory system diseases. The key research topics included 11 categories, mainly in chronic disease management, psychological care, mobile medicine, telemedicine and other aspects.Conclusions:The normalization process theory helps clinicians and nurses understand and assess the factors that facilitate or hinder the inclusion of health care interventions in routine practice. Based on the characteristics of this theory, nursing scholars in China can conduct qualitative research and hybrid research based on research problems, and try to localize the normalization process theory.

Objective:To systematically summarizes the application topics, evaluation dimensions, data sources and evaluation results of the RE-AIM framework in the nursing field implementation research and provides a reference for the outcome evaluation of the nursing field implementation research in the future.Methods:The scoping review framework of Levac was adopted to systematically search PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang Database and other databases, and the retrieval time was from establishment of databases to July 3, 2021. The literatures that were evaluated using the RE-AIM framework in the implementation science in the field of nursing were included, and the data were independently extracted and analyzed by 2 members of the research group.Results:A total of 9 literatures were included, with different research topics. The literature adopted three dimensions of effectiveness, adoption rate and implementation. Both quantitative and qualitative data were collected. The accessibility was 23.8%-100.0% and the adoption was 35.7%-100.0%. The sustainability dimension lacked long-term evaluation.Conclusions:When adopting the RE-AIM framework, nursing researchers should select important and appropriate dimensions and evaluation contents, collect quantitative and qualitative data, and report results truthfully, in detail and comprehensively.

Pressure injury is a common problem faced by global health care institutions, which seriously threatens the lives and health of patients. The treatment and care of pressure injuries need people in multiple professional fields to work together. This article interprets the assessment and planning part of the clinical practice guideline for the third edition of " Assessment and Management of Pressure Injuries for the Interprofessional Team" developed by the Registered Nurses' Association of Ontario, Canada. This article aims at helping the interprofessional team conduct accurate, comprehensive, and full-process assessments of patients with pressure injuries, formulate a reasonable diagnosis and treatment plan, and providing a basis for the implementation of correct treatment measures, so as to promote the improvement and healing of pressure injuries.

This article combs the current situation of traditional Chinese medicine (TCM) characteristic nursing education in TCM hospitals, and puts forward corresponding thoughts on the existing problems. Moreover, this article points out that TCM hospitals should innovate the training model, build a team of teachers with a reasonable structure and complementary schools, set up a reasonable content of TCM characteristic nursing education system, and provide comprehensive economic and policy support.

This paper reviews the literature about the common complications, evaluation tools and intervention measures of free flap repair for tongue cancer patients at home and abroad, summarizes the current research status, and points out that the nursing plan of free flap repair for tongue cancer patients needs to be further standardized, and needs to carry out evidence-based clinical research.

Objective:To carry out content analysis of clinical practice guideline recommendations related to physical activity in survivors of colorectal cancer at home and abroad so as to provide a reference for formulating a standardized and personalized physical activity plan for survivors of colorectal cancer.Methods:Clinical practice guidelines related to physical activity in survivors of colorectal cancer were retrieved in Chinese-English databases, guideline websites and professional society websites by computer from 1st, January 2009 to 1st, July 2019. Guideline recommendations were extracted, translated, classified and analyzed on content with the method of content analysis.Results:A total of 7 clinical practice guidelines were included and 26 recommendations on physical activity of survivors of colorectal cancer were extracted. A total of 8-item content on physical activity were analyzed including the safety and benefits of physical activity, assessment before physical activity, amount of physical activity, way of physical activity, intensity, frequency and duration of physical activity, attention of physical activity, contraindications of physical activity and incremental strategy of physical activity.Conclusions:There are many recommendations on the way, amount, frequency, intensity and attention of physical activity. There are inconsistencies between recommendation mentioned frequency and clinical importance, and consistencies between partial recommendations and domestic practice content, and the recom mendations are more diversified than domestic practice content. We should carry out localization for the high level of foreign guideline to explore the evidences suitable for physical activity in survivors of colorectal cancer in China.