Application of evidence-based nursing intervention in patients with congenital heart diseases treated by transcatheter interventional therapy

Objective To explore the application of evidence-based nursing intervention in patients with congenital heart diseases treated by transcatheter interventional therapy.Methods A total of 64 patients with congenital heart diseases who were administered in our hospital from June 2011 to July 2013 were recruited in our research.

Development of an assessment and intervention protocol for postpartum hemorrhage in the mainland of China: an evidence-based method and Delphi consult

Objective: Postpartum hemorrhage(PPH) is a leading cause of maternal death. Although guidelines have been updated, those with detailed protocols are limited for nursing practice. This study aims at establishing an early assessment and intervention protocol as a toolkit for PPH for midwives and obstetrical nurses.Methods: Employing the evidence-based method, a systematic Internet search of guidelines was conducted and appraisal of literatures was conducted with AGREE system and Oxman-Guyatt Overview Quality Assessment Questionnaire(OQAQ), according to which a protocol draft was therefore developed. Then, a two-round modified Delphi method was utilized to reach a consensus of the protocol built on best practices. Selection criteria for each intervention measure included consensus level with a threshold of 70%, mean of importance(M) >3.5, and coefficient of variation(CV) <0.25. Reliability of experts' opinion was calculated by positive coefficient and authoritative coefficient. Items without consistency were enlisted in the second-round consult. When all items met the selection criteria, the protocol would be finally formulated.Results: A 122-measure protocol was established, including prevention, assessment, and intervention of PPH. With a panel of 14 experts participated in the consult, the positivity coefficient was 0.93 and 1.00 for two rounds, respectively, and the authority coefficient was 0.88. After a two-round consult and revision of the draft, the final program was formulated, containing 5 first-level indexes and 14 second-level indexes with a total item of 120.Conclusions: The PPH protocol, based on high-quality evidences, was formulated with a two-round Delphi method, which can provide insight for midwives and obstetrical nurses to effectively deal with PPH.

An Integrated Strategy for the Cultural Adaptation of Evidence-Based Interventions

Background: The importance of adapting evidence-based health interventions to enhance their congruence with the beliefs of ethno-cultural communities is well recognized. Although a systematic cultural adaptation process is available, it lacks specific instructions on how to adapt interventions so that they are aligned with cultural beliefs. In this paper, we present an integrated strategy that operationalizes the adaptation process by describing specific practical instructions on how to align interventions with cultural beliefs. Methods: The strategy integrates concept and intervention mapping, and uses mixed methods for gathering data from community representatives. The data pertain to a community’s cultural beliefs and values related to a health problem, acceptability of evidence-based interventions targeting the problem, and aspects of the interventions that should be modified to enhance their fit with cultural beliefs. A step-by-step protocol is described to guide application of the integrated strategy for cultural adaptation. Conclusions: The strength of the integrated strategy relies on the use of concept and intervention mapping approaches for specifying a step-by-step protocol to actively engage community representatives in the cultural adaptation of interventions. Future research should evaluate the utility of this strategy.

Effect of early warning and evidence-based intervention combined with drug therapy on the infection process in children with mycoplasma pneumonia

Objective:To study the effect of early warning and evidence-based intervention combined with drug therapy on the infection process in children with mycoplasma pneumonia.Methods:Children who were treated and clearly diagnosed with mycoplasma pneumonia in Zigong Third People's Hospital between May 2014 and October 2017 were chosen and randomly divided into two groups, experimental group accepted early warning and evidence-based intervention combined with drug therapy, and control group accepted routine drug therapy. The levels of inflammatory cytokines and oxidative stress response indicators in serum as well as the expression of inflammation and oxidative stress signal molecules in peripheral blood were measured before treatment and 3 d after treatment.Results:Compared with those of same group before treatment, serum TNF-α, CysLTs, sTREM1, sP-selectin, sICAM1, MDA, SF and COR levels as well as peripheral blood TLR4, NF-κB, COX2, NOX4, MPO and iNOS expression intensity of both groups of patients significantly decreased whereas SOD and IgA levels significantly increased after treatment. Moreover, serum TNF-α, CysLTs, sTREM1, sP-selectin, sICAM1, MDA, SF and COR levels as well as peripheral blood TLR4, NF-κB, COX2, NOX4, MPO and iNOS expression intensity of experimental group were lower than those of control group whereas SOD and IgA levels were higher than those of control group. Conclusion: Early warning and evidence-based intervention combined with drug therapy can reduce the inflammatory response and oxidative stress response in the infection process of children with mycoplasma pneumonia.

The Effectiveness of Concept Mapping as an Educational Nursing Intervention Strategy to Handle Diabetic Foot: Integrative Review

Introduction: Concept map is used as a teaching strategy, where nursing uses this method often to learn more effectively and to be able to apply knowledge when working with diabetic patients. Objective: The aim of this review is to examine all the published articles related to the effectiveness of concept mapping as an educational nursing intervention strategy to handle diabetic foot from 2010-2019. Methodology: Integrative review design in reviewing pertaining literature. Key words related to research were used, database obtained from Cochrane library, MEDLINE, PubMed, Science Direct, Cumulative Index Nursing and Allied Health Literature (CINAHL), ProQuest and Ovid databases were searched, covering the period 2010 to 2019. Other Studies were included if they were related to the effectiveness of concept mapping as an educational nursing intervention strategy to handle diabetic foot. Results: Reveled that concept mapping is a very crucial education tool for both nurses and patients. It is used by nurses to teach diabetic patients how to prevent diabetic foot ulcer, as well as to understand how to organize information and understand the facts. Conclusion: This review confirmed that there are growing confirming literatures about the application of concept maps as an effective nursing strategy. It that can be used by nurses and other health care professionals, to maintain healthy feet and prevent further complications such as bruises, cuts and sores.

Improving Statistical Literacy through Evidence-Based Strategies Among First-Year Education Students in a State University

Statistical literacy is crucial for cultivating well-rounded thinkers.The integration of evidence-based strategies in teaching and learning is pivotal for enhancing students’statistical literacy.This research specifically focuses on the utilization of Share and Model Concepts and Nurturing Metacognition as evidence-based strategies aimed at improving the statistical literacy of learners.The study employed a quasi-experimental design,specifically the nonequivalent control group,wherein students answered pre-test and post-test instruments and researcher-made questionnaires.The study included 50 first-year Bachelor in Secondary Education majors in Mathematics and Science for the academic year 2023-2024.The results of the study revealed a significant difference in the scores of student respondents,indicating that the use of evidence-based strategies helped students enhance their statistical literacy.This signifies a noteworthy increase in their performance,ranging from very low to very high proficiency in understanding statistical concepts,insights into the application of statistical concepts,numeracy,graph skills,interpretation capabilities,and visualization and communication skills.Furthermore,the study showed a significant difference in the post-test scores’performance of the two groups in understanding statistical concepts and visualization and communication skills.However,no significant difference was found in the post-test scores of the two groups concerning insights into the application of statistical concepts,numeracy and graph skills,and interpretation capabilities.Additionally,students acknowledged that the implementation of evidence-based strategies significantly contributed to the improvement of their statistical literacy.

Three-dimensional psychological guidance combined with evidencebased health intervention in patients with liver abscess treated with ultrasound

BACKGROUND Liver abscess is a common clinical liver disease mainly caused by suppurative bacteria or amoebae,with early clinical signs of chills,high fever,jaundice,and other symptoms.Establishing its early diagnosis is difficult,which may lead to misdiagnosis.AIM To observe the effects of psychological guidance combined with evidence-based health intervention in patients with liver abscess treated with ultrasound.METHODS A total of 120 patients with bacterial liver abscess admitted to our hospital from May 2018 to February 2021 were selected and divided into groups according to their intervention plan.RESULTS After the intervention,Self-Rating Depression Scale,Self-Rating Anxiety Scale,Self-Perceived Burden Scale(SPBS),and quality of life scores(physical functioning,role physical,bodily pain,general health,vitality,social functioning,role emotional,mental health)were lower than before the intervention in the two groups.The observation group had lower negative sentiment,SPBS,and quality of life scores than the control group.In the observation group,31 and 24 patients had good and general compliance,respectively,with a compliance rate of 91.67%,which was significantly higher than that in the control group.The observation group had significantly lower total incidence of incision infection,abdominal abscess,hemorrhage,and severe abdominal pain than the control group.CONCLUSION Three-dimensional psychological guidance combined with evidence-based health intervention in treating liver abscess can reduce patients’burden and negative emotions,improve patient compliance and quality of life,and reduce complications.

A quality evaluation of nursing intervention studies in China's Mainland: From 1979 to 2012

Background:The number of papers published in the field of nursing practice has greatly increased in recent years in China's Mainland,yet the quality of these papers is highly variable.There has been no attempt to comprehensively estimate the overall quantity and quality of these papers.Objectives:To systematically retrieve nursing intervention studies published in simplified Chinese from 1979 to 2012,critically appraise their quality,and provide suggestions for future development.Methods:All of the papers were retrieved from China Biology Medicine disc database.The preliminary screening of retrieved publications was performed prior to conducting a rigorous quality evaluation of the remaining publications.10 characteristics would be included in consideration in quality evaluations.Results:69,150 papers were retrieved according to searching strategy.7391 of them were included after preliminary screening and appraised critically.Among the 10 characteristics considered in quality evaluations,the lowest ratings were observed for the factors of“utilisation of blind method”(13 articles),“description of loss of follow-up”(499 articles),“appropriate calculation of sample size”(511 articles)and“randomised assignment of patients to treatments”(652 articles).Conclusions:Chinese papers published in the field of nursing practice have increased over time,but improvements remain needed to ensure that thorough studies with high-quality research methodologies are being performed.Future nursing researchers should not only improve the design of their intervention studies but also clearly describe the methodology they used,especially in group randomisation,blinded research designs,and estimations of required sample sizes.

The Global HIV Archive: Facilitating the Transition from Science to Practice of Efficacious HIV Prevention Interventions

This paper describes the development, content, and capabilities of the online Global HIV Archive (GHA). With the goal of facilitating widespread adaptation and appropriate use of efficacious HIV prevention programs throughout the globe, GHA has: 1) expanded and updated the search for HIV prevention programs originating in low-resource countries;2) identified those meritorious HIV prevention programs meeting established efficacy criteria of technical merit, replicability, and positive outcomes;3) prepared both implementation and evaluation materials from the efficacious programs for public use;4) developed interactive wizards or capacity-building tools to facilitate appropriate program selection, implementation, and adaptation;5) made the efficacious programs and accompanying wizards available to health practitioners throughout the globe in both printed and online formats.

Dysphagia and daily oral fluids among cerebrovascular stroke patients:an theory-based nursing intervention protocol

Objective:To evaluate the improvement of dysphagia and the daily amounts of oral fluids served among people who had recently experienced a cerebrovascular stroke(CVS)after applying a nursing intervention protocol.Methods:A quasi-experimental design was used to examine 60 stroke patients who were randomly and alternatively divided equally into a study group and a control group.Gugging Swallowing Screen(GUSS)and fluid balance chart were used.Within the first 24 h of a patient’s admission,expert nurses were trained in nursing intervention protocol to manage dysphagia and daily oral fluids.Results:Post-nursing intervention,the severity of dysphagia decreased among the study group more than in the control group.Additionally,the study group began taking greater amounts of fluids by the oral route than before the nursing intervention.Conclusions:A standardized nursing intervention protocol is needed to decrease the severity of dysphagia after CVS and increase the amount of daily oral fluids.The presence of a structured theory-based nursing intervention protocol for dysphagia management will greatly contribute to decreasing the consequences of dysphagia after CVS,and can also be expected to attenuate the effects of aspiration pneumonia,dehydration,and malnutrition;further,it also increases adherence to the protocol by both nurses and patients.

Evidence-based practices in sustainable travel behavior intervention: A knowledge graph-based systematic review

Sustainable travel behavior intervention is an essential strategy to promote the development of urban transportation.The interventions offer personalized strategies based on certain scenario and participants to promote its effectiveness over hard travel restrictions.However,personalized strategies may also bring about difficulties to identify the actual effect of the measures.Furthermore,based on current practice,to make full use of travel behavior interventions,it is necessary to construct a unified methodological evidencebased framework to assess the reliability and effectiveness of travel behavior intervention studies.In response to these issues,we applied evidence-based knowledge graph to the field of sustainable travel behavior interventions to help decision supporters design sustainable travel behavior interventions wisely and in turn avoid excessive use of hard travel restrictions.We introduced concept of evidence-based practice to conduct a systematic analysis concerning reliability and validity of current full volume empirical studies by dimensions of scenarios,types of interventions and targets.In addition,we took advantage of high extensivity and integrability of knowledge graph to organize evidence-based related elements.Result of the systematic analysis shows that in terms of reliability of evidence,school intervention is the best scenario,knowledge incentive is the best intervention type and promoting public transit and walking proportion are the best targets.Oppositely,the reliability of interventions in workplace,belonging to reward and threat along with aiming at changing travel patterns generally and lowering travel carbon emission need to be enhanced.From the study,various research prospects are raised to promote evidence quality in the field of travel behavior intervention implementation.As a pioneer study,our research contributes to the field of urban transportation in introducing concepts of evidence-based practice and enabling optimization and extension of our achievement via the usage of knowledge graph,enhancing reliability and objectivity in urban transportation decision-making.

Evidence-based interventions of threatened miscarriage

Threatened miscarriage is the commonest complication of early pregnancy and affects about 20% of pregnancies. It presents with vaginal bleeding with or without abdominal cramps. Increasing age of women, smoking, obesity or polycystic ovary syndrome(PCOS) and a previous history of miscarriage are risk factors for threatened miscarriage. The pathophysiology has been associated with changes in levels of cytokines or maternal immune dysfunction. Clinical history and examination, maternal serum biochemistry and ultrasound findings are important to determine the treatment options and provide valuable information for the prognosis. Bed rest is the commonest advice, but there is little evidence of its value. Other options include progesterone, human chorionic gonadotropin(HCG) and muscle relaxants. The complementary and alternative medicine(CAM) therapies such as acupuncture and Chinese herbs have also been tried. There is some evidence from clinical studies indicating that CAM therapies may reduce the rate of miscarriage, but the quality of studies is poor. Thus, further double-blind,randomized-controlled trials are necessary to confirm its effectiveness, especially acupuncture and Chinese herbs.

基于精细化理念的护理干预在纤维支气管镜下肺灌洗术中的临床应用效果研究

目的:探讨基于精细化理念的护理干预在纤维支气管镜下肺灌洗术中的临床应用效果。方法:2022年5月-2023年5月选取94例行纤维支气管镜下肺灌洗术的病人作为研究对象,采用随机数字表法将病人分为观察组和对照组各47例,对照组实施常规护理,观察组在对照组基础上实施基于精细化理念的护理干预,比较两组病人干预前后不良情绪及呼吸功能改善情况,并记录两组病人检查配合率、不良事件发生率、一次性置镜成功率、检查满意率。结果:干预后观察组病人焦虑、抑郁评分明显低于对照组(P<0.05),而第1秒用力呼气量(FEV1)、用力肺活量(FVC)、FEV1/FVC明显高于对照组(P<0.05)。观察组病人检查配合率、一次性置镜成功率、检查满意率明显高于对照组(P<0.05),而观察组病人不良事件发生率明显低于对照组(P<0.05)。结论:基于精细化理念的护理干预能有效减轻纤维支气管镜下肺灌洗术病人的不良情绪,提高病人检查配合度,减少检查时不良事件的发生,提升病人检查安全性及治疗效果,进而提高病人治疗满意度。

循证理念指导下护士-家长协同干预策略在唇腭裂术后护理中的应用

目的:观察循证理念指导下护士-家长协同干预策略在唇腭裂术后护理中的应用效果。方法:选取2021年6月-2022年12月笔者科室收治的90例拟行唇腭裂术患儿,采用随机数字表法分为观察组(n=45)和对照组(n=45)。对照组给予常规术后护理,观察组在对照组基础上引进循证理念指导的护士-家长协同干预策略,两组均持续干预3个月。观察两组患儿术后恢复情况、疼痛程度、应对方式、康复依从性及并发症发生情况。邀请家属对护理模式进行满意度评价。结果:干预后,观察组住院时间、伤口愈合时间均短于对照组,术后72 h、7 d的疼痛评分低于对照组(P<0.05);观察组消极应对因子评分低于对照组,积极应对因子评分高于对照组(P<0.05);观察组Frankl治疗依从性量表评分高于对照组(P<0.05);观察组术后总并发症发生率与对照组比较差异无统计学意义(P<0.05)。结论:循证理念指导下护士-家长协同干预策略的引进可有效提高唇腭裂患儿术后护理效果,改善患儿应对方式和康复依从性,促进患儿术后恢复,提升护理满意度。

无痛理念下认知行为模式干预对食管癌术后患者疼痛程度和心理状态的影响

目的探讨无痛理念下认知行为模式干预对食管癌术后患者疼痛程度和心理状态的影响。方法依据干预方法的不同将107例食管癌患者分为无痛组(n=56)和常规组(n=51),常规组患者接受常规干预,无痛组患者接受无痛理念下认知行为模式干预。比较两组患者疼痛程度[视觉模拟评分法(VAS)、疼痛分级指数(PR)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我管理能力[自我管理能力量表(SMS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]和并发症发生情况。结果干预后,两组患者VAS、PR、SAS、SDS评分均低于本组干预前,无痛组患者VAS、PR、SAS、SDS评分均低于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SMS各维度评分及总分均高于本组干预前,无痛组患者SMS各维度评分及总分均高于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,无痛组患者EORTC QLQ-C30各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。无痛组患者的并发症总发生率为7.14%,低于常规组患者的23.53%,差异有统计学意义(P﹤0.05)。结论无痛理念下认知行为模式干预可有效缓解食管癌患者术后疼痛程度,减轻焦虑和抑郁情绪,强化自我管理能力,提高生活质量,从而降低并发症发生率。

阶段性服务理念在慢性盆腔炎临床护理中的应用价值探讨

目的探讨阶段性服务理念在慢性盆腔炎临床护理中的应用。方法选取厦门大学附属妇女儿童医院2021年1月—2022年12月慢性盆腔炎患者88例,按照不同护理方法分为2组,各44例。对照组实施常规护理,研究组实施阶段性服务理念护理。比较2组各项症状缓解时间、疾病知识认知评分、心理情绪评分、护理依从性、并发症发生率及护理满意度。结果与对照组比较,研究组月经紊乱、白带增多、腰腹疼痛缓解时间均更短(P<0.05);与护理前比较,2组护理后的疾病知识认知评分均有所增加,抑郁(self-ratingdepressionscale,SDS)、焦虑(self-ratinganxietyscale,SAS)评分均有所减少(P<0.05);与对照组比较,研究组护理后的疾病知识认知评分更高,SDS、SAS评分均更低(P<0.05);研究组护理依从性更高(P<0.05);研究组败血症、肠梗阻、腹膜炎合计并发症发生率(4.5%)低于对照组(22.7%)(P<0.05);研究组满意度(95.5%)高于对照组(75.0%)(P<0.05)。结论慢性盆腔炎患者临床护理中采用阶段性服务理念护理,患者的临床症状可得到更快缓解,不良心理情绪获得进一步缓解,对疾病的认知有所提升,并发症发生率有明显降低,护理依从性、护理满意度均显著提高,具有较为理想的应用价值。

风控理念下护理干预在经皮冠状动脉介入术围术期的应用价值分析

目的 探究经皮冠状动脉介入术(Percutaneous Coronary Intervention,PCI)围术期采用风控理念下护理干预价值。方法 单纯方便选取2021年8月—2023年7月郯城县第一人民医院收治的128例行PCI术患者为研究对象,随机数字表法分为对照组及观察组,各64例。对照组采用常规护理,观察组采用风控理念下护理干预。对比两组日常生活能力、生活质量。结果 观察组日常生活能力(22.51±1.38)分低于对照组,差异有统计学意义(t=3.037,P<0.05)。观察组生活质量各指标(健康状态、身体功能、心理健康、社会功能)均高于对照组,差异有统计学意义(P均<0.05)。结论 风控理念下护理干预凸显风险防范特征,应用于PCI术围术期中可以分别从术前、术中以及术后等多个维度明确风险隐患点并采取针对性干预措施,从而改善日常生活能力及生活质量,满足患者个性化护理需求。

基于快速康复外科理念的护理干预对腹主动脉瘤患者术后康复的影响

目的探讨基于快速康复外科(FTS)理念的护理干预对腹主动脉瘤患者术后康复的影响。方法选取医院2022年1月至2023年8月收治的腹主动脉瘤患者83例,按随机数字表法分为观察组(43例)和对照组(40例)。对照组患者予常规护理,观察组患者予基于FTS理念的护理。结果观察组患者的首次排气时间、术后下床时间、术后住院时间均显著短于对照组(P<0.05);观察组患者的术后4 h疼痛评分显著低于对照组(P<0.05);观察组患者的术后并发症发生率为6.97%,显著低于对照组的30.00%(P<0.05);观察组患者的护理总满意度为95.35%,显著高于对照组的75.00%(P<0.05)。结论基于FTS理念的护理干预用于腹主动脉瘤患者术后康复的效果良好,可缩短患者的首次排气时间和住院时间,促进术后早期康复,减少术后并发症,提高护理满意度。

乡村老年人数字鸿沟的“针灸理念”介入机理与实践逻辑

在老龄化和数字化的双重背景下,如何有效弥合乡村老年人数字鸿沟是数字乡村建设必须回答的时代命题。文章以“针灸理念”为切入视角,结合社会工作实务的四大基本系统,构建“针灸理念”介入乡村老年人数字鸿沟的分析框架。研究发现,“针灸理念”介入乡村老年人数字鸿沟的过程主要包括“激活功能、确定穴位”和“辨症施针、舒经活穴”两大疗程,继而提出“空间微更新、需求微刺激、资源微链接、多方微组织”四大行动策略,但在介入过程中依然存在“理念、个体、系统”层面的现实困境。因此,可进一步通过“全局观”倡导数字包容、“渐进式”增强数字认同、“可持续”保证多主体参与的一系列“舒经活穴”路径,增强乡村老年人的数字获得感和幸福感。

目标执行理念的针对性干预对主动脉夹层开胸手术患者术后康复情况及生活质量的影响

目的:探究基于目标执行理念的针对性干预对主动脉夹层(AD)开胸手术患者术后康复情况及生活质量的影响。方法:采用随机数字表法将某院自2021年2月至2023年10月收治的80例行AD开胸手术的患者分为观察组和对照组,各40例。对照组接受常规AD开胸手术护理干预,在此基础上,观察组接受基于目标执行理念的针对性干预,比较两组患者术后康复情况、自我护理能力、护理满意度以及生活质量。结果:观察组患者术后首次下床活动时间、住院天数均短于对照组(t=5.140,5.780;P<0.05),干预后,观察组疼痛程度低于对照组(t=3.232,P<0.05);干预后,观察组患者自我护理能力总分高于对照组(t=22.731,P<0.05);观察组护理满意度总分显著高于对照组(t=9.347,P<0.05);出院3个月后,观察组生活质量各项及总分高于对照组(t=10.457,11.525,10.499,8.243,7.720,6.516,10.027,19.004;P<0.05)。结论:目标执行理念的针对性干预AD开胸手术患者能有效促进患者术后康复,对患者疼痛程度、生活质量、自我护理能力改善作用显著,且临床护理满意度高。