The impact of inspiratory muscle training on exercise capacity and inspiratory muscle strength in heart failure patients:a meta-analysis

Objective:To systematically evaluate the therapeutic effects of inspiratory muscle training(IMT)on cardiopulmonary functions in patients with heart failure.Methods:PubMed,EMbase,the Cochrane Library,Web of Science,CBM,WanFang Data,VIP,and CNKI databases were searched to collect randomized controlled trials about the effects of IMT on cardiopulmonary function in patients with heart failure.Meta-analysis was performed using RevMan 5.3 software after two researchers independently screened the literatures,extracted the data,and evaluated the risk of bias.Results:A total of 20 articles with 1,415 patients were included.Meta-analysis showed that IMT was able to increase the 6-minute walking distance(mean difference(MD)=59.41,95%confidence interval(CI)(51.02–67.80),P<0.001)and maximum inspiratory pressure(MD=15.59,95%CI(12.96–18.21),P<0.001)in patients with heart failure compared with the control group.But there was no statistical difference in peak oxygen uptake(MD=1.37,95%CI(?0.57–3.30),P=0.17),first second forced expiratory volume(MD=?5.79,95%CI(?12.23–0.65),P=0.08)and forced vital capacity(MD=?0.45,95%CI(?6.39–5.49),P=0.88)between the control and the experimental group.Conclusion:Available evidence suggested that IMT seemed to be a useful strategy for improving exercise capacity and inspiratory muscle strength in heart failure patients.Limited by the quantity and quality of the included studies,the above conclusions need to be verified by more high-quality studies.

Research Progress in "Person-centered" Nursing

This paper reviews the research progress of “person-centered” nursing,and provides reference for the development of “person-centered” nursing in China.Currently,foreign scales have been developed to measure “person-centered” nursing,such as Individualized Care Scale,P-CA,Assess Health Care Providers’ Implementation of Patient-Cen,Person-centered Critical Care Nursing and Human-based Perioperative Care Scale.The “Person-centered” nursing model has been widely used in clinical nursing and nursing management.Studies have shown that “person-centered” nursing can improve patient satisfaction and promote the physical and mental health of patients.At the same time,the combination of “person-centered” nursing and teaching promotes the innovation of medical education medicine,and its combination with architecture promotes the progress of hospital construction.Future research should focus on the overall layout of hospitals and wards,use more holistic means of psychosomatic medicine to set up more comprehensive humanistic concepts such as accompanying family members area,improve the breadth and depth of humanistic nursing field,and promote the development of humanistic nursing in China.

Application progress on Omaha system in total hip arthroplasty nursing

This article analyzes the application of Omaha system in perioperative continuation nursing and discharge follow-up of patients undergoing total hip arthroplasty in China, and combine the Omaha system with mobile medical to design a mobile management platform APP suitable for patients with total hip arthroplasty, and strengthen professional training for nurses, with the cooperation of multi-disciplinary teams, will be widely applied and promoted in clinical, in order to better manage and improve the nursing outcomes of patients with total hip arthroplasty and enhance the quality of life of patients.