The mediating effect of depression between social capital and cognitive function of the elderly in nursing institutions / 中国实用护理杂志

Objective:To investigate the mechanism of depression between social capital and cognitive function of the elderly in nursing institutions, and provide new ideas for improving the cognitive function of the elderly.Methods:This study was a cross-sectional survey. Using the convenient sampling method to collect the general information questionnaire, the Geriatric Depression Scale (GDS), Social Capital Scale and Montreal Cognitive Assessment Scale (MoCA) of 218 elderly people from three elderly nursing institutions including Shenyang Health Care Centre, Songpu Nursing Home and Colourful Sunshine City Pension Service Centre in Shenyang from July 2020 to January 2021.Results:A total of 218 questionnaires were distributed and 202 valid questionnaires were recovered. The effective recovery rate was 92.7%. The scores of the cognitive function, depression and social capital of the elderly were (23.60 ± 4.25), (6.38 ± 4.35) and (75.41 ± 8.61). Depression scores were negatively correlated with social capital scores and cognitive function scores ( r = - 0.401, - 0.481, both P<0.05); there was a positive correlation between social capital scores with cognitive function scores ( r = 0.338, P<0.05). There was a mediating effect of depression between social capital and cognitive function, accounting for 42.1%. Conclusions:While improving the cognitive function of the elderly in nursing institutions by improving the level of social capital, it is necessary to pay attention to the mediatingeffect of depression, strengthen the psychological counseling of the elderly, promote mental health, and further reduce the occurrence and development of cognitive decline in the elderly.

Analysis of influencing factors of cardiac rehabilitation information needs of patients after PCI / 中国实用护理杂志

Objective:To investigate the information demand level and its influencing factors of cardiac rehabilitation in patients after PCI, in order to provide scientific basis for doctors and nurses to formulate cardiac rehabilitation intervention strategies.Methods:A total of 146 patients after PCI were investigated with general data questionnaire and Cardiac Rehabilitation Inventory in the First Affiliated Hospital of Dalian Medical University from December 2019 to February 2020, and multiple linear regression was used to analyze the influencing factors of cardiac rehabilitation information demand.Results:The average scores of each dimension of Cardiac Rehabilitation Inventory after PCI were autonomy, process anxiety and result anxiety from high to low. Multiple linear regression showed that occupational type was a significant predictor of autonomy of patients after PCI, which could explain 4.6% of the variation of autonomy, and autonomy of in-service patients after PCI was higher than that of retirees ( t=2.81, P<0.05). Sex and age were significant predictors of process anxiety of patients after PCI, which could explain the variation of 8.6% of process anxiety. The occupational type, the medical insurance type and whether they had received professional rehabilitation guidance during hospitalization were significant predictors of anxiety after PCI, which could explain the 15.2% variation of anxiety, and the anxiety of in-service patients after PCI was lower than that of retirees ( t=-3.76, P<0.05). Conclusions:The level of cardiac rehabilitation information needs of patients after PCI is worthy of attention. Medical staff can give targeted, personalized and different forms of cardiac rehabilitation in the process of cardiac rehabilitation, and emphasize the implementation of health education and guidance for their cardiac rehabilitation in order to meet their cardiac rehabilitation information needs, improve their autonomy and alleviate their anxiety.

The effect of different ultrasound debridement method on epiphytic bacteria of diabetic foot ulcer wound / 中国实用护理杂志

Objective:To investigate the effect of ultrasonic debridement mediated by 0.9% sodium chloride solution and 0.5% iodophor volt combined with eddy current washing and high pressure pulse washing on the removal of colonized bacteria on the wound surface of diabetic foot and wound healing.Methods:From March to November 2020, a total of 60 patients using ultrasonic therapy for debridement were divided into control group, experimental group 1, experimental group 2 and experimental group 3 by random digit table in the fourth People′s Hospital of Dalian. The final effective data collected was 15 cases in each group. The control group was given ultrasonic debridement mediated by 0.9% sodium chloride solution and eddy current washing.Experimental group 1 was given ultrasonic debridement mediated by 0.9% sodium chloride solution and high pressure pulse washing. Experimental group 2 received 0.5% iodophor mediated ultrasonic debridement and eddy current washing. Experimental group 3 0.5% iodophor mediated ultrasonic debridement and high pressure pulse washing. The size of the wound was measured, sampled and bacterial cultured before and after the first, fifth and 10th intervention. The wound bacterial clearance rate and wound area reduction rate were calculated and compared.Results:Before and after 3 interventions, the bacterial clearance rate and the total reduction of wound surface in 4 groups were increased ( P<0.01), the total bacterial clearance rate of experimental group 3 was the highest, which was (93.85 ± 9.87)%.The total reduction rate of wound in experimental group 2 was the highest, which was (20.831 4 ± 9.379 8)%. Conclusions:0.5% iodophor mediated ultrasonic debridement combined with high pressure pulse washing is the most effective way in the removal of diabetic foot wounds, and 0.5% iodophor solution mediated ultrasonic debridement combined with eddy current washing is the most effective in reducing diabetic foot wounds.

Research progress on dyadic coping of pregnant women and their spouses / 中国实用护理杂志

This article reviewed the concept and theoretical models of dyadic coping, as well as the related factors of dyadic coping of pregnant women and their spouses, and introduced the application status of dyadic coping in pregnant women and their spouses. To provide a reference for constructing a dyadic coping intervention plan between pregnant women and their spouses based on the cultural background of China.

Exploring a nursing practice teaching model centered on professional competence under the background of the new era / 中国实用护理杂志

In order to meet the needs of national development and people′s health, the development of nursing education is facing unprecedented challenges. Nursing practice teaching undertakes the important task of providing talents for the national health cause, and it is urgent to explore a teaching mode that can adapt to the development of the times. In order to provide reference for the further development of clinical nursing education in China, we can establish the clinical nursing practice teaching mode with professional competence as the core from the aspects of clarifying the current situation, innovating the teaching model and improving the ideological and political education quality.

The review of phaseⅡexercise rehabilitation for patients with acute myocardial infarction / 中国实用护理杂志

PhaseⅡexercise rehabilitation of patients with myocardial infarction is the core stage of the whole exercise rehabilitation process, which plays a vital role in disease rehabilitation and prevention. Previous reviews are difficult to highlight the changes and focus of phaseⅡexercise rehabilitation in patients with myocardial infarction. This article provides a general introduction from the perspective of myocardial infarction patients′ phaseⅡexercise rehabilitation. It summarizes the current status and deficiencies of exercise load assessment method, the types of exercise and effect of the myocardial infarction patient′s phaseⅡexercise rehabilitation, in order to provide reference for the improvement of related studies on exercise rehabilitation.

Research progress on implementation strategy of empowerment theory in patients with chronic heart failure / 中国实用护理杂志

With the development of human centered medical nursing model, empowerment as a new and effective nursing intervention model has been widely concerned. In this paper, from the overview of empowerment theory, the influencing factors of the implementation of empowerment theory in patients with chronic heart failure and the strategies to improve the implementation effect of empowerment theory for patients with chronic heart failure. The purpose of this review is to provide reference for the implementation of empowerment theory for patients with chronic heart failure in China.

Research progress of Health promoting lifestyle and intervention measures in patients with chronic diseases / 中国实用护理杂志

Health promoting lifestyle can help patients with chronic diseases to prevent diseases, maintain their health, and reduce or eliminate dangerous behaviors by changing the incorrect lifestyle of chronic diseases. This article reviews the overview, measuring tool, status quo, influencing factors, and interventions of health promotion lifestyle for patients with chronic diseases, and puts forward the corresponding prospects.

Study on the status of health-related hardiness and its influential factors among breast cancer patients undergoing radiotherapy / 中国实用护理杂志

Objective:To understand the current status of health-related hardiness among breast cancer patients undergoing radiotherapy and to analyze its influencing factors, and to provide evidence for the development of psychosocial care programs for breast cancer patients undergoing radiotherapy.Methods:A total of 126 postoperative breast cancer patients undergoing radiotherapy were selected from the First Affiliated Hospital of Dalian Medical University from January to September 2018. The self-designed general data questionnaire and Health-related Hardiness Scale (HRHS) were used to analyze the current status and the influencing factors of health-related hardiness among patients.Results:The overall score of health-related hardiness among breast cancer patients undergoing radiotherapy was 127.61±20.19, which was located at the low medium level. There were significant differences in the scores of patients of different ages, education background, marital status, fertility status, children status, family history, religion, family income, and medical insurance forms ( t value was -3.800-8.128, F value was 8.906-274.271 P<0.01). The regression analysis showed that the influencing factors of health-related hardiness were age, family income, marital status, education background, family history, and religion. The degree of the dependent variable was 89.4%. Conclusions:Breast cancer patients undergoing radiotherapy have a low medium level of health-related hardiness, and are affected by age, family income, marital status, education background, family history, and religion.

A review on the selection of cleaning methods and cleaning solution for chronic wound / 中国实用护理杂志

Infection is an essential factor in chronic wound disunion. With the increasing number of patients with chronic diseases in the aging society, the number of patients with chronic wounds increases. It caused a heavy social burden. The proper cleaning method and cleaning fluid play a key role in chronic wound healing. In this paper, the concepts, classification, mechanism of different cleaning fluids, and their effects on chronic wounds were reviewed, which is expected to help health professionals to choose cleaning methods and cleaning fluids scientifically. It was supposed to provide significant guidance for chronic wound cleaning.

Latent classes of resilience and their stress difference of medical students / 中国实用护理杂志

Objective@#To explore the classification characteristics of medical students resilience, and psychological stress difference of each latent class.@*Methods@#A total of 500 medical students from a medical university majoring in five-year clinical in Liaoning province were investigated by using the general questionnaire, the resilience scale and the Chinese college students stress scale.@*Results@#Three latent classes model of resilience in medical students was supported, including "low tenacity group" (32.7%), "general resilience group" (32.1%) and "tenacity-strength group" (35.2%). In Logistic regression analysis, the proportion of students whose majors met their interests in the general resilience group (OR=3.796) and the tenacity-strength group (OR=7.556) was larger. There were significant differences in psychological stress scores between different latent classes (P<0.01).@*Conclusions@#Medical students′ resilience has obvious classification characteristics, and there were different distributions in different latent classes of whose majors meet their interests. Researchers and teachers should pay more attention to the students who have less resilience and whose majors are not in accordance with their own interests, develop their professional interest, and improve psychological stress through appropriate intervention methods.

Effect of spousal voice stimulation on the recovery period of patients undergoing thoracic/lumbar surgery under general anesthesia / 中国实用护理杂志

Objective:To study the effect of spousal voice stimulation on the recovery period of patients undergoing thoracic/lumbar surgery under general anesthesia.Methods:A total of 67 patients undergoing thoracic/lumbar surgery under general anesthesia who met the inclusion exclusion criteria were divided into 34 patients in the control group and 33 patients in the experimental group according to the random number table method. Awakening in the recovery period patients were given general anesthesia care, on the basis of the control group recovery period voice wake up by paramedics. The recovery time, pain score, the incidence of restlessness and nausea and vital signs between the two groups were compared.Results:The extubation time, exhalation time, recovery time of choking cough, recovery time, and pain score in the recovery stage were (14.00±3.90) min, (11.67±3.83) min, (10.03±3.58) min, (21.24±4.28) min, (4.15±0.79) points in the experimental group, respectively. Those were (18.00±6.60) min, (15.59±5.86) min, (12.68±5.01) min, (29.50±8.25) min, (5.26±0.86) points in the control group, respectively. The differences between the two groups were statistically significant ( t values were 2.481-5.483, P<0.05 or 0.01). There was no significant difference in the incidence of restlessness and nausea and vital signs between the two groups( P>0.05). Conclusions:Spoused-voice stimulation can shorten the extubation time, exhalation time, recovery time and recovery time of choking cough in patients undergoing thoracolumbar surgery under general anesthesia, and reduce the pain in the recovery period.

Evaluation of the application effect of the vertical and horizontal ladder teaching mode in undergraduate nursing students / 中国实用护理杂志

Objective:To evaluate the application effect of the vertical and horizontal step-by-step teaching mode in clinical nursing students.Methods:Using the convenient sampling method, the nursing students who were internship in the nursing college of Dalian Medical University were selected as the research objects. 27 nurses from July 9, 2016 to April 12, 2017 were the control group, and 29 nursing students from July 2017 to April 2018 were experimental groups. The control group adopts the traditional teaching mode, and the experimental group adopts the vertical and horizontal ladder teaching mode to complete the 40-week internship, and each round (four weeks) conducts theoretical and skill assessment.Results:The experimental group of nursing students in the experimental group had a score of (91.52 ± 1.75) points on the theoretical theory, a score of (90.99 ± 1.44) points on the staged skills examination, and a score of (699.34 ± 8.85) points on the national nursing qualification examination. The comprehensive quality evaluation score of the phased internship nursing students was (92.58 ± 1.17) points, which were higher than the control group's (88.89 ± 2.82), (88.27 ± 2.04), (694.26 ± 7.61), (89.44 ± 0.62) points, and the difference was statistically significant ( t values were -4.21,-5.79, -2.30, -7.50, P <0.05). Conclusion:The vertical and horizontal step-by-step teaching mode is conducive to improving the efficiency of clinical teaching, improving the learning effect of students, and playing a positive guiding role in the development of internship plans with teaching departments, and improving the overall level of nursing teaching.

Latent classes of resilience and their stress difference of medical students / 中国实用护理杂志

Objective:To explore the classification characteristics of medical students resilience, and psychological stress difference of each latent class.Methods:A total of 500 medical students from a medical university majoring in five-year clinical in Liaoning province were investigated by using the general questionnaire, the resilience scale and the Chinese college students stress scale.Results:Three latent classes model of resilience in medical students was supported, including "low tenacity group" (32.7%), "general resilience group" (32.1%) and "tenacity-strength group" (35.2%). In Logistic regression analysis, the proportion of students whose majors met their interests in the general resilience group ( OR=3.796) and the tenacity-strength group ( OR=7.556) was larger. There were significant differences in psychological stress scores between different latent classes ( P<0.01). Conclusions:Medical students′ resilience has obvious classification characteristics, and there were different distributions in different latent classes of whose majors meet their interests. Researchers and teachers should pay more attention to the students who have less resilience and whose majors are not in accordance with their own interests, develop their professional interest, and improve psychological stress through appropriate intervention methods.

Basis of the replacement of short peripheral intravenous catheters for clinical nurses: a qualitative study / 中国实用护理杂志

Objective@#To investigate the current status and influencing factors of basis of the replacement of short peripheral intravenous catheters for clinical nurses and explore the obstruction of the latest guide promoted in practice.@*Methods@#The qualitative research method was adopted, and semistructured interviews were used to interview 11 clinical nurses. Data were analyzed by the method of category analysis.@*Results@#Although the clinical nurses mainly used the national standards to do practical operation, they preferred to carry out catheter replacement according to clinical indications. The difference between the latest guide and the national standards was the main obstruction in the practical promotion of the latest guide.@*Conclusions@#The removal of short peripheral intravenous catheters according to clinical indications is more suitable for clinical practice. Further improving the standards of intravenous therapy in China has become a fundamental measure to solve the contradictions of work of clinical nurses, improve patients′ medical experience and save medical resources.

Analyze the mediating effect of the positive psychological qualities, between emotional intelligence and humanistic caring ability among the nursing interns / 中国实用护理杂志

Objective@#To explore the humanistic caring ability, and to analyze the relationship between the positive psychological qualities, emotional intelligence and humanistic caring ability among the nursing interns, and provide theoretical basis to improve nursing students’ humanistic caring ability.@*Methods@#A total of 132 nursing interns from a three Level of first-class hospital in Liaoning province, were investigated by using the general questionnaire, caring ability inventory, emotional intelligence scale and Positive Mental Characters Scale for China normal university.@*Results@#The score of humanistic caring ability was (180.74±18.75). Among them, the average score of cognitive was the highest (73.71±10.93) and the average score of courage was the lowest (48.43±11.91). Emotional intelligence and positive psychological qualities were positively correlated with the humanistic caring ability, and positive psychological qualities was a intermediate variable between emotional intelligence and humanistic caring ability, and the mediating effect size is 18.71%.@*Conclusion@#The level of humanistic caring ability in nursing interns is lower, which needs to be further improved. The emotional intelligence and positive psychological qualities have a significant positive effect on the humanistic caring ability. Schools and internship hospitals can improve their sense of humanistic caring ability by developing the emotional intelligence and positive psychological qualities to stabilize the development of nursing career.

Application and evaluation in clinical dispensing of self-made-dispensing-ampoule Car / 中国实用护理杂志

Objective@#To evaluate the application of self-made-dispensing-ampoule car in the medicine dispensing for venous transfusion.@*Methods@#The self-made-dispensing-ampoule car made based on the ergonomics is a temporary carrier device for medical waste in the need of the whole process of dispensing process. The overall exterior is made of 304 stainless steel, separated into 2 layers. The Upper layer has a frame with integral medicine glass hole made of stainless steel, which can be dismantled from the upper layer. The medicine glasses are small empty medicine bottles used to hold the dispensed medicine; while the lower layer is a slide platform which can put on 3 medical waste classification boxes. The bottom has universal wheels with brakes to help the car move and stop. To focus on 42 emergency department nurses using the device, to analyze their error rate of medicine dispensing, the dispensing time for the same batch of patients with same dosages and shuttle time from dispensing car to buffer room to pour medical waste and compare the data the year before and the year using the device.@*Results@#After using it, the dispensing error occurrence rate and nurses dispensing time and shuttle times of pouring waste were 0.31 ‱ (3/97 785), (70.08±3.28) min/time, two times, which were all obviously lower than 1.95‱ (18/92 095), (110.04±6.91) min/time, 30 times without using it (χ2=11.64, 204.16, t=71.70, all P<0.01).@*Conclusion@#Using the dispensing ampoule car can optimize the dispensing process in dispensing of venous transfusion, ensure patients with safe venous transfusion, raise the efficiency of nurses saving time and efforts.

Integration of clinical competence evaluation index system for master of nursing specialist / 中国实用护理杂志

Objective@#Integrate the evaluation indexes of clinical competence of master of nursing specialist.@*Methods@#Search the Cochrane Library, Joana Briggs Institute Library, Embase, Web of Science, PubMed, CNKI, VIP and Wanfang database, from the establishment of the database to December 10th,2018, and to collect researches about master of nursing specialist clinical competence evaluation index and then analyzed by content analysis method and thematic analysis.@*Results@#A total of 9 articles were included, 26 items and 9 categories including comprehensive practical ability, professional development ability, teaching guidance ability, clinical scientific research ability, organization and management ability, professional accomplishment, professional values, professional knowledge level, relevant knowledge level were selected. 3 dimensions including skill structure, attitude structure and knowledge structure.@*Conclusion@#Evaluating the clinical competence of master of nursing specialist we should not only consider their comprehensive practical ability, but pay attention to their professional development, teaching and scientific research, organization and management, professional accomplishment, knowledge and professional values assessment.

Analyze the mediating effect of the positive psychological qualities, between emotional intelligence and humanistic caring ability among the nursing interns / 中国实用护理杂志

Objective To explore the humanistic caring ability ,and to analyze the relationship between the positive psychological qualities , emotional intelligence and humanistic caring ability among the nursing interns, and provide theoretical basis to improve nursing students’humanistic caring ability. Methods A total of 132 nursing interns from a three Level of first-class hospital in Liaoning province, were investigated by using the general questionnaire, caring ability inventory, emotional intelligence scale and Positive Mental Characters Scale for China normal university. Results The score of humanistic caring ability was (180.74±18.75) . Among them, the average score of cognitive was the highest (73.71± 10.93) and the average score of courage was the lowest (48.43±11.91 ). Emotional intelligence and positive psychological qualities were positively correlated with the humanistic caring ability, and positive psychological qualities was a intermediate variable between emotional intelligence and humanistic caring ability, and the mediating effect size is 18.71%. Conclusion The level of humanistic caring ability in nursing interns is lower, which needs to be further improved. The emotional intelligence and positive psychological qualities have a significant positive effect on the humanistic caring ability. Schools and internship hospitals can improve their sense of humanistic caring ability by developing the emotional intelligence and positive psychological qualities to stabilize the development of nursing career.

Application and evaluation in clinical dispensing of self-made-dispensing-ampoule Car / 中国实用护理杂志

Objective To evaluate the application of self-made-dispensing-ampoule car in the medicine dispensing for venous transfusion. Methods The self-made-dispensing-ampoule car made based on the ergonomics is a temporary carrier device for medical waste in the need of the whole process of dispensing process. The overall exterior is made of 304 stainless steel, separated into 2 layers. The Upper layer has a frame with integral medicine glass hole made of stainless steel, which can be dismantled from the upper layer. The medicine glasses are small empty medicine bottles used to hold the dispensed medicine; while the lower layer is a slide platform which can put on 3 medical waste classification boxes. The bottom has universal wheels with brakes to help the car move and stop. To focus on 42 emergency department nurses using the device, to analyze their error rate of medicine dispensing, the dispensing time for the same batch of patients with same dosages and shuttle time from dispensing car to buffer room to pour medical waste and compare the data the year before and the year using the device. Results After using it, the dispensing error occurrence rate and nurses dispensing time and shuttle times of pouring waste were 0.31?(3/97 785) , (70.08±3.28) min/time, two times, which were all obviously lower than 1.95? (18/92 095) , (110.04 ± 6.91) min/time, 30 times without using it ( χ2=11.64, 204.16, t=71.70, all P< 0.01) . Conclusion Using the dispensing ampoule car can optimize the dispensing process in dispensing of venous transfusion, ensure patients with safe venous transfusion, raise the efficiency of nurses saving time and efforts.