A co-word cluster analysis on hot-spots of foreign nursing research on liver transplantation / 中国实用护理杂志

Objective:To analyze the research hotspots of foreign liver transplantation nursing, and explore the current research trends in this field.Methods:The subject words of liver transplantation nursing literature included in Web of Science were used as the research object, the retrieval time was from the establishment of the database to November 24, 2021, and Bicomb software was used for word frequency analysis, and SPSS software was used carry out systematic clustering analysis on high-frequency keywords.Results:Two hundred and ninety-four articles were finally included and published in 169 journals. Thirty high-frequency subject words were extracted, accounting for 47.60% of the total frequency. Through co-word cluster analysis, it is found that research hotspots include 7 categories: pediatric liver transplantation and family, quality of life and transitional care, postoperative complications and psychology, organ donation and ethics, treatment compliance, intensive care and psychiatry, nutrition and symptoms management.Conclusions:It is suggested that the future nursing research of liver transplantation in China should focus on pediatric living donor liver transplantation and family management, symptom management of liver transplantation recipients, nutrition management of pediatric liver transplantation recipients, psychiatric complications after transplantation in ICU, nursing ethics of liver transplantation, etc. So as to improve the nursing development level of liver transplantation in China.

Nursing experience in the process of diagnosing and treating post-transplantation lymphoproliferative disorder / 中国实用护理杂志

Objective To explore the key points of nursing in the process of diagnosing and treating the common complication--- post-transplantation lymphoproliferative disorder (PTLD) after pediatric liver transplantation. Methods The clinical data of 21 children with PTLD after liver transplantation. The key point of nursing in the process of prevention, onset, diagnosis and treatment was summarized. Results With the individual and combined treatments 18 patients gained remission except for 1 patient died because of perforation and sequent intractable haemorrhage and 2 patient died for the development of lymphoma. In terms of nursing, during the prevention stage, it is critical to insist the regular follow-up to make early diagnosis. More efforts should be made to obtain the children′s cooperation to complete the examination. During the infusion of rituximab, strengthened monitoring is necessary and more attention should be paid to the special nursing when other complications such as intractable haemorrhage, intestinal obstruction or perforation occurs. Conclusions The nursing care of PTLD is complicated. Individual and careful nursing regimens should be made based on the specific situations in different stages.

Survey of quality of life among the pediatric patients who have received the liver transplantation for one year / 中国实用护理杂志

Objective To get some knowledge of the quality of life among the pediatric patients who received the liver transplantation for one year, and analyze the impact factors. Methods The patients who received the liver transplantation within January to December 2016 were investigated by the questionnaire. The patients′demographics was investigated by the questionnaire. The patients′ quality of life was got by the scale, and then discuss the demographics′impact on the quality of life. Results The total score of quality of life was (68.37±13.90) points. The score of "About My Medicines I" was (76.74± 17.26) points, and the score of "About My Medicines II" was (77.90±16.41) points, and the score of My Transplant and Others was (65.92±20.06) points, and the score of Pain and Hurt was (79.43±13.52) points, and the score of "worry" was (54.07 ± 25.59) points, and the score of "Treatment Anxiety" was (54.07 ± 25.59) points, and the score of How I Look was (58.85±28.09) points, and the score of "Communication was (84.67±15.86) points. And the type of insurance and blood type of donors were the impact factors, and the difference was significant (t=2.101, 3.201, P＜0.05). Conclusions The quality of life of pediatric patients who received the liver transplantation for one year was relatively low. Whether or not having bought the insurance and the blood type of donors may be the impact factors of the quality of life.

Portal vein reconstruction in high risk infantile liver transplantation / 中华器官移植杂志

Objective To explore the experience of infantile liver transplantation ,reconstructing portal vein (PV) and avoid the higher incidence of portal vein low flow and complications .Methods The clinical data were reviewed for 152 infantile liver transplantations performed by a single surgery group .And 114 cases with PV risk factors underwent customized PV reconstructions .All of them were diagnosed as cholestatic liver diseases and 106 (93％ ) belonged to biliary atresia .Forty-two cases (36％ ) had 2 or more risk factors .Results Most cases (n= 106 ,93％ ) underwent living donor transplantations using lateral left graft while another 8 cases had deceased donor transplantations . Four types of PV reconstructions were adopted based upon individual conditions :left/right branch of PV trunk (n= 103) ,autogenous patch PV venoplastic reconstruction (n= 3) ,duct-to-duct of PV trunk (n= 5) and donor PV duct-to-recipient confluence of SMV/CV and SV (n= 3) .Graft size reduction was performed when GRWR > 4 .5％ (n= 16) .During a median follow-up period of 6 .5 (1 .5-13) months ,there were 3 LPVF (2 .6％ ) ,2PVS (1 .7％ ) and 1 PVT (0 .8％ ) .Three LPVF cases was corrected by PV stenting ,two cases of PVS were stable after anticoagulation therapy while one PVT case undergoing thromboectomy plus PV stenting resumed a normal PV flow .Conclusions PV reconstruction of high-risk infants require comprehensive risk evaluations ,precise surgical skills and customized strategies .For PV complications ,stenting is both safe and feasible .

The effect of adaptation of two pressure sensors on the pediatric liver transplantation / 中国实用护理杂志

Objective@#We observed the effect of the opening and closing pressure sensors on the pediatric liver transplantation.@*Methods@#The 100 cases of pediatric patients who suffered biliary atresia were chose to this study from July 1st 2018 to Dec 31st 2018. They received the living donor liver transplantation. The samples were divided into control group and test group according to the random number table. We observed the volume of blood lost during the process of blood sample collecting. The hemoglobin (HB) and infection rate of catheter were also recorded.@*Results@#The test group didn′t lose blood when collecting the sample, and the time of collecting the blood sample in the test group was (22.0 ± 4.2) s, which was shorter than that of in the control group (47.0 ± 7.8) s, the difference was significant, t=9.321, P<0.05. The difference of HB and infection rate of catheter after 24 hours between two groups was not significant, P>0.05.@*Conclusion@#The closing pressure sensor may be more advanced when used to avoid the loss of blood and prevent the infection.

Nursing experience in the process of diagnosing and treating post-transplantation lymphoproliferative disorder / 中国实用护理杂志

Objective@#To explore the key points of nursing in the process of diagnosing and treating the common complication--- post-transplantation lymphoproliferative disorder (PTLD) after pediatric liver transplantation.@*Methods@#The clinical data of 21 children with PTLD after liver transplantation. The key point of nursing in the process of prevention, onset, diagnosis and treatment was summarized.@*Results@#With the individual and combined treatments 18 patients gained remission except for 1 patient died because of perforation and sequent intractable haemorrhage and 2 patient died for the development of lymphoma. In terms of nursing, during the prevention stage, it is critical to insist the regular follow-up to make early diagnosis. More efforts should be made to obtain the children′s cooperation to complete the examination. During the infusion of rituximab, strengthened monitoring is necessary and more attention should be paid to the special nursing when other complications such as intractable haemorrhage, intestinal obstruction or perforation occurs.@*Conclusions@#The nursing care of PTLD is complicated. Individual and careful nursing regimens should be made based on the specific situations in different stages.

Survey of quality of life among the pediatric patients who have received the liver transplantation for one year / 中国实用护理杂志

Objective@#To get some knowledge of the quality of life among the pediatric patients who received the liver transplantation for one year, and analyze the impact factors.@*Methods@#The patients who received the liver transplantation within January to December 2016 were investigated by the questionnaire. The patients′ demographics was investigated by the questionnaire. The patients′ quality of life was got by the scale, and then discuss the demographics′ impact on the quality of life.@*Results@#The total score of quality of life was (68.37±13.90) points. The score of "About My Medicines I" was (76.74±17.26) points, and the score of "About My Medicines II" was (77.90±16.41) points, and the score of My Transplant and Others was (65.92±20.06) points, and the score of Pain and Hurt was (79.43±13.52) points, and the score of "worry" was (54.07±25.59) points, and the score of "Treatment Anxiety" was (54.07±25.59) points, and the score of How I Look was (58.85±28.09) points, and the score of "Communication was (84.67±15.86) points. And the type of insurance and blood type of donors were the impact factors, and the difference was significant (t=2.101, 3.201, P<0.05).@*Conclusions@#The quality of life of pediatric patients who received the liver transplantation for one year was relatively low. Whether or not having bought the insurance and the blood type of donors may be the impact factors of the quality of life.

An analysis of related issues in long-term survival in children after liver transplantation / 临床肝胆病杂志

Liver transplantation is a mature treatment for children with end-stage liver disease. With the development of surgical techniques, immunosuppressive therapy, and infection monitoring in recent years, there have been significant increases in the survival rates of patients and liver transplants, helping children to achieve long-term survival. Meanwhile, several issues have emerged, such as viral infection, complications, new-onset tumors, quality of life, and self-management. Therefore, this article reviews related issues in long-term survival in children after liver transplantation from the two aspects of medical treatment and nursing and provides several regimens for reference, so as to provide a basis for long-term high-quality survival in children after liver transplantation. Here, these issues are reviewed.

The survey of quality of life and sleep among pediatric patients with the end-staged liver diseases / 中国实用护理杂志

Objective@#This research was designed to survey the quality of life (QOL) and sleep of the pediatric patients with end-staged liver diseases.@*Methods@#The Pediatric Quality of Life InventoryTM and the Pediatric Sleep Questionnaire were adapted to develop the questionnaire of the survey. The patients of first half year of 2017 were investigated.@*Results@#The median age was 8 month, and median height was 66 cm, while the median weight was 7.45 kg respectively. The median score of QOL was 67.4, and the median score of sleep was 0.22, while the median score of indirect sleep was 0.33 respectively.@*Conclusions@#The QOL of pediatric patients with end-staged liver diseases was relatively low, and the age, monthly income, weight, height were the impact factor of it. The quality of sleep was relatively good, and "whether having the insurance or not" is the impact factor of it.

Research of parents′satisfaction of clinical decision who have children with end- staged liver diseases / 中国实用护理杂志

Objective To survey the parents′satisfaction of clinical decision who have children with end-staged liver diseases. Methods The Questionnaire of Satisfaction of Clinical Decision was used as the instrument. Results The parents′satisfaction score 3 months after the surgery was (71.2 ±3.5) points, while 1 year after the surgery was (68.3±4.4) points, and the difference between them was not statistically, P value was more than 0.05. Besides, the satisfaction showed significant difference on the factors of education and monthly income. F values were 5.258 and 6.328, and P values were both less than 0.05. The stronger the education background was, the higher the satisfaction was. And so the monthly income was. Conclusions The parents have higher satisfaction of clinical decision, and the education and monthly income are the factors affecting the satisfaction.

Research in application of two kinds of pressure ulcer assessment scale in children patients / 中国实用护理杂志

Objective To evaluate and compare the predictive validity of the Braden Q and Braden pressure ulcer risk assessment scales in the acute pediatric patients, and explore the cutoff score of the scales. Methods We adopted the prospective cohort study design.The settings included three PICU of three different children's hospitals. Two nurses were appointed as the data collectors, and they were in charge of both the scoring and the skin assessment separately. Results We collected 145 samples. There were 9 patients who developed the pressure ulcers, and the incidence rate was 6.2%. The cutoff score of Braden Q and Braden scale was 17 and 14. The AUC of the ROC curve of the two scales was 0.481 and 0.398. Conclusions The Braden Q scale is more suitable for the pediatric patients. Further study is neededed to improve the scale.