ObjectiveTo investigate the effect of posture nursing by specially-assigned person and psychological nursing on patients after vitrectomy combined with intraocular silicone oil tamponade. MethodsFrom February 2012 to February 2013, traditional nursing method or posture nursing by specially-assigned person and psychological nursing was carried out respectively for 140 patients who had undergone vitrectomy and intraocular silicone oil tamponade. Adverse effects and retina reattachment effect were compared between the two nursing methods. ResultsAdverse effects after the surgery were significantly fewer in the experimental group than in the control group (P<0.05). The number of patients with retina reattachment in the experimental group was significantly higher than that in the control group (P<0.05). ConclusionPosture nursing by specially-assigned person and psychological nursing reduce postoperative adverse consequences significantly, and achieve the expected operative effect.
ObjectiveTo explore the leakage management and skin care by improved homemade portable vacuum sealing drainage device used for enterocutaneous fistula, in order to solve such confusing problems as leakage collection and nursing for patients with inconvenient activity. MethodsThe homemade portable vacuum sealing drainage device was made by using hydrophilic fiber of silver ion antimicrobial dressings, leak-proof strings, skin protective film, transparent patches, sputum suction tube, bottle of portable infusion, and negative pressure drainage bottle. Between January 2011 and September 2013, patients with enterocutaneous fistula admitted into our hospital were divided into traditional treatment group and portable vacuum sealing treatment group according to the admission time, and traditional center negative pressure suction treatment and portable negative pressure drainage method were used respectively for the two groups of patients. We verified the effect of the mobile vacuum sealing drainage device through comparing these two groups in terms of wound healing time, redness, burst and impregnation of the skin. ResultsThe wound healing time was significantly shorter for patients in the portable vacuum sealing drainage treatment group (P<0.05), and patients in this group also had a lower occurrence of skin redness, impregnation and burst. ConclusionHomemade portable negative pressure drainage device for enterocutaneous fistula patients can reduce the incidence of skin complications such as redness, impregnation and burst, promote patients' activity, and reduce the patients' pain.
ObjectiveTo analyze the occurrence of arrhythmia in patients during the recovery period of anesthesia, in order to take appropriate measures in nursing care to ensure the safety of patients. Method We carried out a retrospective analysis of 18 931 general anesthesia post-operative patients (aged 16-84 years old) transferred to anesthesia recovery from September 2012 to July 2013, and we observed the incidence rate of arrhythmia, and documented the clinical manifestations of the patients. ResultsDuring the anesthesia recovery, out of 18 931 general anesthesia postoperative patients, 269 cases of arrhythmia occurred, and the incidence rate was 1.42%. Twenty minutes after nursing intervention and use of medication, the difference of systolic blood pressure, bradycardic heart rate, and tachycardic heart rate of the patients were statistically better than those beofre the treatment (P＜ 0.05) . ConclusionEarly discovery and analysis of arrhythmia in patients during anesthesia recovery, along with timely provision of analgesic and antiarrhythmic treatment can effectively improve the circulation status of the patients, thus ensure the safety of the patients during anesthesia recovery.
Objective To retrospectively analyze the search strategy of systematic reviews/meta-analyses(SRs/MAs) of nursing researches, and to provide the references for developing search strategy of SRs/MAs of nurse researchers in future. Methods The SRs/MAs in nursing journals from CSCD and Web of Science were searched from inception to October 2015. Four reviewers independently screened literatures and extracted data. Then data analysis was conducted by using Excel 2007 software. Results A total of 112 nursing SRs/MAs were finally included, 44 were published in English and 68 were published in Chinese. 37.5% (42/112) SRs/MAs reported the flow charts, 13.39% (15/112) reported the knowledge of reviewers, and 8.04% (9/112) reported the comprehensive search strategies. 48.21% SRs/MAs searched less than five databases, 15% SRs/MAs searched more than ten databases. 45.54% SRs/MAs reported supplementary retrieval, 8.93% searched the gray literatures. Patients combined with intervention was the most way in searching. Conclusion There are still some limitations in search strategy of SRs/MAs for nursing studies. We advise that: (1) it’s necessary to choice typical databases as many as possible according to search field; (2) the reporting of search strategy of nursing SRs/MAs should reporte knowledge of reviewers; (3) to improve transparency and quality of SRs/MAs in nursing researches, journals should introduce reporting complete search strategy in their instruction for authors.
Objective To systematically review the performance of postpartum hemorrhage risk prediction models, and to provide references for the future construction and application of effective prediction models. Methods The CNKI, WanFang Data, VIP, CBM, PubMed, EMbase, The Cochrane Library, Web of Science, and CINAHL databases were electronically searched to identify studies reporting risk prediction models for postpartum hemorrhage from database inception to March 20th, 2022. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias and applicability of the included studies. Results A total of 39 studies containing 58 postpartum hemorrhage risk prediction models were enrolled. The area under the curve of 49 models was over 0.7. All but one of the models had a high risk of bias. Conclusion Models for predicting postpartum hemorrhage risk have good predictive performance. Given the lack of internal and external validation, and the differences in study subjects and outcome indicators, the clinical value of the models needs to be further verified. Prospective cohort studies should be conducted using uniform predictor assessment methods and outcome indicators to develop effective prediction models that can be applied to a wider range of populations.
Peripherally inserted central catheter (PICC) is widely used as an intravenous therapy pathway, and catheter occlusion is one of the most common complications during the use of PICC. Catheter occlusion may lead to extubation or re-catheterization, which may generate prolonged hospital stay and increased medical costs, thus affecting the implementation of treatment and patient prognosis. The prevention and treatment of occlusion are of great significance. Daily maintenance and nursing operations should be complete, standardized and implemented in place. Evidence-based standard procedures should be established to meet the needs of clinical work. This consensus follows the methods and principles provided in the WHO guidelines formulation manual, and forms a systematic and standardized clinical practice process, including PICC patency assessment, catheter occlusion degree and type assessment, risk factor prevention, blockage management, etc. The purpose of this consensus is to reduce catheter-related complications, ensure the longevity of PICC and the safety of patient treatment.