Quality evaluation and content analysis of non-drug guidelines on risk factors of secondary prevention of myocardial infarction

Purpose: To strictly evaluate the quality of guidelines on risk factors related to secondaryprevention of myocardial infarction (MI), and to summarize and analyze the relevantrecommendations, and to provide evidence-based support for medical staff to developinterventions related risk factors for MI patients. Methods: The professional guideline websitesand databases in English and Chinese were retrieved, and the references related guidelines weretraced to get the published guidelines. Appraisal of Guidelines for Research and Evaluation IIwas used to evaluate the methodological quality of the guidelines. Then the relevantrecommendations for MI were summarized and analyzed. Results: A total of 8 guidelines,including evidence-based guidelines and expert consensus were included in the initial review of2,099 articles, among which 2 from the UK, 1 from the US and 5 from China. The overallquality of the included guidelines is moderate. However, some guidelines score relatively lowin the dimensions of rigor of development, clarity of presentations and editorial independence.A total of 24 items were extracted, including three risk factors: blood pressure, blood sugar andblood lipid. The recommendations mainly cover the relevant target values of risk factors,providing evidence-based support for medical staff to control and guide the risk factors ofpatients with MI in three aspects, such as blood pressure, blood sugar and blood lipid, whichproviding the theory basis for self-monitoring. Conclusions: It is recommended that clinicalpractice on risk factors of MI should be based on best evidence and fully put the individualfactors into account.

Bibliometric analysis of qualitative researches in nursing in China from 2013 to 2019

Aims:To analyze the research status and development trend of nursing qualitative research in China from 2013 to 2019.Method:China national knowledge infrastructure(CNKI),Wanfang Data and VIP database were researched to include all related articles which were published from 2013 to 2019 about nursing qualitative research literature.NoteExpress literature management software and Excel were used to organize literature from annual distribution region,organization,core periodical,as well as the research object,research methods,data collection method and sampling method for metrology analysis.Results:2194 articles met the inclusion criteria,the number of articles is increasing year by year.Most of them come from Shanghai,Beijing,zhejiang and other developed areas.The top three institutions were the Huazhong University of Science and Technology,Tongji Medical College,Affiliated Union Hospital,Fudan university and Shanghai jiao tong university.And 835 of them were published in core journals.Research object are mainly divided into patient,nurses,nursing managers,etc.The included literature mainly adopts phenomenological research methods.Interview is the mainly data collection methods,and Colaizzi method is the mainly data analysis methods.Most articles use the method of purpose sampling.Conclusion:The qualitative research is becoming more and more attention by researchers in China.Qualitative research has covered clinical nursing,nursing education,nursing management,nursing psychology and other different nursing field.However,the selection of qualitative research methods,data analysis methods and related reports need to be further improved and standardized.

Bibliometrics analysis of Jean Waston’s Human caring theory in China in the past 10 years

Aims:To analyze the research status and development trend of human caring theory in the field of nursing in China,and to provide better reference for theory and research.Methods:All articles related to human caring theory were searched in the China national knowledge infrastructure(CNKI),Wanfang Data and VIP database which were published in the past year was searched.NoteExpress document management software and Excel software were used to conduct bibliometrics analysis on the annual distribution,regional distribution,journal distribution,fund support and research content of the documents.The search time was from 1 January 2009 to 31 December 2009.Results:A total of 113 articles were included in the literature.The total number of published articles showed a slow and tortuous trend.After 2013,the volume of publications was relatively stable.The core journals accounted for 17.7%of the total number of articles,and most of them came from hospitals.The research covers clinical applications,nursing education,nursing management and other fields.Conclusion:Human caring theory is an important part of nursing theory,Nursing researchers in China can conduct clinical research,nursing management and nursing education research based on their theoretical connotation,combined with clinical and teaching environment.

Cross-cultural nursing's systematic model and its application in minority patients in China

Ethnic diversity and cultural diversity have become a prominent feature of today's society.Patients from different cultural backgrounds have brought new challenges to the nursing career,and it has become an inevitable trend to carry out cross-cultural nursing.This review summarizes the concept,advantages,application in teaching and clinic of cross-cultural nursing theory and the special nursing needs of Tibetan and hui patients.This review aims to sort out the application status of cross-cultural nursing theory in ethnic minorities and provide reference for carrying out standardized cross-cultural nursing in ethnic minority patients.

Hidden in the hands-the special inner Bagua acupoints for pediatric massage

Pediatric massage is one of the external treatment methods that can improve children'sconstitution and immunity by regulating the viscera (the basic organs in traditonal Chinesemedicine theory), dredging the meridians, regulating Qi and blood, and balancing Yin and Yang.As one of the specific acupoints of pediatric massage, inner Bagua acupoint (one of the clinicallyused acupoints in children's massage that locate in the palm of the hand and the periphery ofthe palm) play a key role. Inner Bagua acupoints are the commonly used acupoints in pediatricmassage, which have the function of regulating Qi and eliminating phlegm (a kind pathologicfluid in TCM theory) and improving digestion. Inner Bagua acupoints have a unique curativeeffect on many diseases of digestive and respiratory system in children. Therefore, this articleattempts to elaborate and summarize the origin, location, operation and clinical application ofthe inner Bagua acupoints. This article hopes to provide a basis information for advocating anddisseminating pediatric massage, which is favorable for wide-range popularization anddevelopment.

Insight into the post-hospital syndrome

After hospitalization,the patient faces a brief fragile period of susceptibility to disease and a high incidence of adverse events(re-admission or death,etc.),which is described by cardiologist Harlan M.Krumholz as post-hospital syndrome(PHS).PHS is characterized by the risk of early re-hospitalization towing to physiologic stressors from the initial admission,including disruption in sleep-wake cycles,inadequate pain control,deconditioning,and changes in nutritional status.Almost 1 in 6 patients hospitalized for acute myocardial infarction and 1 in 5 of those admitted for heart failure are readmitted within 30 days of discharge.Notably,only 10% and 35% are readmitted for the same diagnosis as that of the original hospitalization,respectively.Through a systematic review,this paper discusses the related concepts,hazards and influencing factors of PHS,and summarizes the counter measures based on the domestic status,in order to provide reference for domestic clinical medical personnel to formulate relevant measures to reduce the incidence of PHS.

Effect of mindfulness therapy on the intervention of cancer-related fatigue in patients with lung cancer: a meta-analysis

Objective:To systematically evaluate the effects of mindfulness therapy on oncogenic fatigue in patients with lung cancer.Methods:Computer searching was conducted in the Cochrane Library,PubMed,Embase and other databases.Combined with manual search,randomized controlled trials about the effect of mindfulness therapy on the cancer-related fatigue in patients with lung cancer were collected.The search time was from the establishment of the database to December 2019.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias in the included study.RevMan 5.3 software was used for meta-analysis.Results:A total of 448 patients were included in 6 randomized controlled trials.Meta-analysis results show that mindfulness therapy can help reduce carcinogenic fatigue in patients with lung cancer(standardized mean difference(SMD)=−1.67,95%confidence interval(CI)(−2.09,−1.24),P<0.001),and improve anxiety(SMD=−1.33,95%CI(−2.53,−0.13),P=0.03),relieve depression(SMD=−1.43,95%CI(−2.13,−0.73),P<0.001).Conclusion:There is limited evidence that mindfulness therapy can improve cancer-related fatigue,anxiety,and depression in patients with lung cancer.Limited by the number and quality of included studies,the above conclusions need to be further validated by high-quality clinical trials.

Risk factors for parastomal hernia in patients with colostomy:a scope overview

Objective:To investigate the risk factors of parastomal hernia in patients with a colostomy.Methods:The related studies published in Embase,PubMed,CNKI,and other databases were searched.The search time limit was from the establishment of the database to March 2020.After the literature screening,data extraction and cross-checking were carried out independently by two researchers,the qualitative research method was used to summarize.Results:After screening,6 articles were included.The results of qualitative analysis showed that a total of 10 risk factors of parastomal hernia were concluded which could be classified into personal and colostomy factors.Conclusion:The current evidence showed that 10 risk factors such as age,Body Mass Index and colostomy were related to the occurrence of parastomal hernia in patients with a colostomy.Limited by the type and quantity of research,the above conclusions need to be verified by more high-quality research.

Visual analysis of the research hotspots of Neuman systems model in recent 20 years

Background:This paper uses information visualization software to sort out the relevant research of Neuman systems model at home and abroad in the past 20 years,and discusses the research hotspots and development trend in the field of Neuman systems model,so as to provide scientific and reliable reference for the future work and research.Methods:By using CiteSpace V software,this paper analyzes the literatures about the Neuman systems model collected in the core web of science database and CNKI database from 2001 to 2020,and analyzes the time distribution,research power distribution,research hotspots,research frontier and development trend of the Neuman systems model at home and abroad in the past 20 years.Results:The development trend of research in this field in foreign countries is relatively stable.The core strength of research is mainly in the United States,and the research hotspots are health,quality of life,caregivers,spirituality,etc;the research in this field in China is gradually on the rise,and there is no obvious research force,and the research hotspots are mainly quality of life,complications,anxiety,stressors,perioperative period,hypertension,etc.Conclusions:It has been proved that the model has a certain guiding effect on the development of nursing discipline in China.In China,there is still room for development in the research of this model.It is suggested that Chinese scholars can learn from foreign leading research forces to carry out in-depth research and expand its application scope.