Table of Content

20 October 2020, Volume 17 Issue 10 Previous Issue    Next Issue

Research Paper

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The effects of Balint group combined with scenario drama on improving the empathy ability and clinical communication skills among nursing students WANG Xian,YIN Qiu-xin,CAI Hua-juan,YE Hong-fang,WANG Ying 2020, 17 (10):  869-873.  doi: 10.3761/j.issn.1672-9234.2020.10.001 Abstract ( 310 )   HTML ( 0 )   PDF (744KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of Balint group combined with scenario drama on improving the empathy ability and clinical communication skills among nursing students. Methods From march to June 2019,80 year-two nursing students were recruited and evenly divided into two groups. The experimental group took part in the Balint group combined with scenario drama training. Students in the experimental group were divided into groups with 10 students in each group. They participated in the Balint group once every 2 weeks for 90 minutes each time for a total of 6 times. Every time after the Balint group,the students had scenario drama training for 80 minutes. Students in the control group took part in the Balint group only. The Chinese version of the Jefferson Scale of Empathy for the Nursing Students and the clinical Communication Skills Scale of the Nursing Students were used respectively to investigate the empathy ability and the clinical communication skills. Results The scores of nursing students’empathy ability were higher than those before training in both groups（P<0.05）. The scores of empathy ability in the experimental group were higher than those in the control group（P<0.05）. The scores of the clinical communication skills were higher than those before training in both two groups（P<0.05）.The scores of the clinical communication skills in the experimental group were higher than those in the control group（P<0.05）. Conclusion The Balint group combined with scenario drama training can improve the empathy ability and the clinical communication skills of nursing students more effectively.

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The development of disease acceptance intervention and its feasibility evaluation for patients with breast cancer HAN Jing,ZHANG Li,WANG Bao-yin,QIU Hui,SU Ya-li,LIU Jun-e 2020, 17 (10):  874-879.  doi: 10.3761/j.issn.1672-9234.2020.10.002 Abstract ( 311 )   HTML ( 0 )   PDF (900KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop the psychological intervention to promote illness acceptance for breast cancer patients,and evaluate its feasibility and preliminary effectiveness. Methods The psychological intervention was developed by means of literature review,descriptive study,related theories and experts’ consultation. And the expert’s demonstration and revision were carried out. The Acceptance and Commitment therapy-based psychological intervention were formed,including 4 modules：living with it;mindful life;accepting it;developing with it. Each module lasted 60 to 70 min. The intervention was carried out in one group. The feasibility was accessed and the Hospital Anxiety and Depression Scale,Acceptance and Action Questionnaire Ⅱ,the Illness Cognition Questionnaire,Functional Assessment of Cancer Therapy-Breast,and Perceived Social Support Scale were used to evaluate the effectiveness. Results For the feasibility study,the recruitment rate was 65%,the retention rate was 82%,the adherence rate for homework were from 50% to 64%,and the acceptability rate was 100%. The score of acceptance of illness,psychological flexibility,quality of life and perceived social support were statistically increased pre-to post-intervention（P<0.05）. The score of Acceptance and Action Questionnaire Ⅱ was statistically decreased pre-to post-intervention （P<0.05）. Conclusion This psychological intervention for illness acceptance was scientific and systematic,and it was feasible among breast cancer patients during their treatment period.

Geriatric Nursing

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Trending topics in informal care research for the older adults HUANG Huan-huan,XIAO Ming-zhao,CAO Song-mei,LI Jing-hong,ZHANG Hai-ling,ZHAO Qing-hua 2020, 17 (10):  880-885.  doi: 10.3761/j.issn.1672-9234.2020.10.003 Abstract ( 361 )   HTML ( 0 )   PDF (1093KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To make a macroscopic summary and hot spot analysis of the international research results of informal care,so as to provide reference for the research in related fields in China. Methods The research progress of informal care was analyzed based on Web of Science core database. Bicomb 2.0 was used to extract high-frequency keywords in recent 5 years and used to generate text matrix,gCluto 1.0 software was used for double cluster analysis and visual display. Results A total of 6 311 literatures were included,and the annual volume of papers increased year by year. Totally 71 countries and 5 028 institutions have participated in the relevant research,covering 81 research areas. A total of 3 091 articles published from 2015 to 2019. There were six hotspots,including home care,economic evaluation,quality of care,primary health care,caregiver burden and palliative care. Conclusion The research of informal care is steady and diverse. Chinese nursing scholars can learn from international experience and rely on interdisciplinary cooperation to promote the construction of informal care system for the older adults considering our national conditions.

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The current status and influencing factors of nurses’ competence in implementing the discharge planning for older patients LU Lu,DING Ling,LU Hong-yan 2020, 17 (10):  886-890.  doi: 10.3761/j.issn.1672-9234.2020.10.004 Abstract ( 300 )   HTML ( 0 )   PDF (777KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To know the status and influencing factors of the nurses’ competence in implementing the discharge planning for older patients. Methods A questionnaire survey was conducted among 1 021 nurses from 17 public general hospitals in Ningxia through three stages of stratified sampling by using the Core Competence Scale of Nurse-led Discharge Planning for Elderly Patients and Chinese version of the Nurse’s Career Identity Scale. Results The nurses’ competence in implementing the discharge planning for older patients were（204.02±43.95）. The lowest score was（68.62±18.41） for “ability of follow-up and effect evaluation” dimension. Hierarchical regression analysis showed that nurse’s career identity,number of training related to the discharge planning each month,being a clinical instructor or not, and working years could explain 34.1% of the total variation. After controlling the general demographic variables,career identity could independently explain 25.2% of the total variation. Conclusion The nurses’ competence in implementing the discharge planning for elderly patients was above the middle level. The nursing managers should pay attention to improve the nurses’ career identity and increase knowledge training related to discharge planning in order to improve nurses’ competence level. In addition,nurses with long working years and teaching experience are more likely to be qualified for discharge planning.

Nursing Education

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Practice of the narrative education in Mental and Psychological Care CHEN Yu,FANG Fan,XIAO Ju-lan,GAO Yuan-min,WANG Jing 2020, 17 (10):  901-905.  doi: 10.3761/j.issn.1672-9234.2020.10.007 Abstract ( 355 )   HTML ( 0 )   PDF (796KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of narrative education in Mental and Psychological Care. Methods A total of 131 nursing undergraduates of grade 2016 in Southern Medical University were selected and assigned to the experimental group. Narrative education was used in this group. Another 146 nursing undergraduates in grade 2015 were selected and assigned to the control group. Routine education was used in the control group. At the end of the course,the assessment results of the two groups were compared and the satisfaction level of students in the experimental group were investigated. Results The scores of formative assessment,summative assessment and total evaluation in the experimental group were higher than those in the control group（P<0.001）. 96.2% of the students in the experimental group were satisfied with the narrative education and teaching activities of the curriculum. The main achievements included three themes：the reduction of discrimin action,the enhancement of caring concept,and the improvement of autonomous learning and divergent thinking. Conclusion Narrative education can help students form the concept of caring,reduce the discrimin action of mental illness patients,cultivate their self-learning ability and divergent thinking,which can be further promoted.

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Effects of peer assisted learning on nursing students in targeted education poverty alleviation program ZENG Wu-qi,ZHENG Cui-hong,GONG Hai-rong 2020, 17 (10):  906-909.  doi: 10.3761/j.issn.1672-9234.2020.10.008 Abstract ( 269 )   HTML ( 0 )   PDF (641KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the influence of peer-to-peer learning mode on the learning effects of poverty alleviation students in precision education of secondary vocational nursing major. Methods According to the principle of “homogeneity between groups and heterogeneity within groups”,the 80 students in the Fujian Health College were divided into 14 peer-to-peer cooperative learning groups for one semester. Eighty nursing students from the homogenous school were randomly selected as the control group. The academic level test scores of the two groups were compared and the learning performance of the experimental group was evaluated. Results After the intervention,the score of learning attitude in the experimental group was lower than that before the intervention（P<0.05）;compared with the control group,the score of public basic knowledge in the academic level test in the experimental group was statistically significant（P<0.05）;compared with the control group,the score of professional basic knowledge in the academic level test in the experimental group was not statistically significant（P>0.05）. Conclusion The peer-to-peer learning model is helpful to improve the learning attitude of the students in the training class,promote the improvement of their professional basic knowledge,and narrow the gap between their academic performance and that of the general secondary vocational school. However,their public basic ability is still relatively weak,so it is necessary to strengthen the assistance of public basic courses.

Clinical Teaching

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Development of a “hospital-school-student” management platform for clinical teaching HOU Yi-fang,DENG Xiao-mei 2020, 17 (10):  910-913.  doi: 10.3761/j.issn.1672-9234.2020.10.009 Abstract ( 293 )   HTML ( 0 )   PDF (747KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics A teaching hospital developed a “hospital-school-student” management platform for clinical teaching based on the analysis of needs. Four modules including nursing interns,clinical instructors,school instructors and administrator were set up. The advantages and limitations of the platform were analyzed. Suggestions were made for further platform improvement. Implication was summarized for changing the clinical teaching mode.

Continuing Education

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Construction of curriculum system of death education for nurses in emergency department based on Bloom’s goal teaching theory ZHANG Xiao-hong,LIU Ying,GUO Mei-ying,WANG Hong-hong,ZENG Jia,LI Shou-gen,XIAO Tao 2020, 17 (10):  914-918.  doi: 10.3761/j.issn.1672-9234.2020.10.010 Abstract ( 263 )   HTML ( 0 )   PDF (735KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To constant a death education content suitable for emergency department nurses based on Bloom’s goal teaching theory. Methods Based on Bloom’s goal teaching theory,the original training content was determined through literature review,semi-structured interviews,and expert group meetings,and 18 clinical nursing experts from 11 provinces and cities were invited to modify the content to determine the final version of death education training for emergency nurses content. Results The recovery rate of round 2 questionnaires was 100%,and the expert authority coefficient were both 0.868. The mean importance score of all levels of indicators is 4.50~5.00. Eventually,a death education course content for nurses in emergency department is formed,which includes 3 first-level indicators,5 second-level indicators and 23 third-level indicators. Conclusion The course content of death education for nurses in emergency department based on Bloom’s goal teaching theory is scientific,practical and operable,which has certain reference value for the death education and training of nurses in emergency department.

Clinical Practice

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The effects of five-element emotional intervention combined with auricular point sticking on patients with cerebral infarction during the recovery period PENG Zhen-zhen,HOU Bo-nan 2020, 17 (10):  919-923.  doi: 10.3761/j.issn.1672-9234.2020.10.011 Abstract ( 211 )   HTML ( 0 )   PDF (820KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of five-element emotional intervention combined with auricular point sticking on negative emotion and self-efficacy of patients with cerebral infarction during the recovery period. Methods Totally 582 patients with cerebral infarction were selected and divided into the experimental group（n=291） and the control group（n=291） with their admission order as reference. Patients in the control group was given routine care including knowledge and health education,regular lectures,basic care,and prevention of complications and other conventional nursing interventions. Patients in the experimental group received five-element emotional intervention combined with auricular point sticking besides routine care. The satisfaction level,depression and anxiety score,and self-efficacy score of the two groups before and after the intervention were compared. Results After the intervention,the scores of depression and anxiety in the experimental group were significantly lower than those in the control group,and the self-efficacy score was higher than that in the control group（P<0.05）. The satisfaction level of patients in the experimental group was higher than that of the control group（P<0.05）. Conclusion Five-element emotional intervention combined with auricular point sticking on patients with cerebral infarction during the recovery period can improve patients’ negative emotions,improve self-efficacy and their satisfaction level.

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Investigation on the continuous nursing needs and influencing factors of middle aged and older patients after total knee arthroplasty LI Chen-fei,LIU Yan,ZHANG Hui-min,HUANG You-ling,GAO Meng-meng,YAN Jun-wei,LU Xiao-qian,MA Zhen-zhen 2020, 17 (10):  924-927.  doi: 10.3761/j.issn.1672-9234.2020.10.012 Abstract ( 213 )   HTML ( 0 )   PDF (576KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the status of continuous nursing needs of middle aged and older patients after total knee arthroplasty in Northern Henan province and analyze the influencing factors. Methods A total of 356 patients undergoing total knee arthroplasty were investigated using the general data questionnaire,the continuing care demand scale for middle aged and older patients with total knee arthroplasty,and the Medical Outcomes Study item short from health survey（SF-36）. Results The total demand for continuous care services of patients after total knee replacement was（110.47±7.08）,with a high degree of demand,in which the physiological needs dimension score was the highest,and the self-actualization demand dimension score was the lowest;the total quality of life score was（374.51±88.52）. Continuing care services through the network communication platform were needed by 68.5% of patients,and following up by phone of 66.0%. The multiple linear regression analysis showed that quality of life and age were the main factors influencing the demand for continuous nursing service after total knee replacement（R2=0.444,F=142.943,P<0.01）. Conclusion The quality of life of middle aged and older patients after total knee arthroplasty is poor.According to the needs,age and quality of life of patients,scientific and effective,individualized continuous nursing intervention measures should be formulated to promote the rehabilitation of patients.

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Illness perception and post-traumatic growth in postoperative patients with laryngeal cancer：a longitudinal study CHEN Hong-tao,CHEN Zi-hang,SU Xiang-hua,LI Li,SONG Xiao-hua 2020, 17 (10):  928-931.  doi: 10.3761/j.issn.1672-9234.2020.10.013 Abstract ( 274 )   HTML ( 0 )   PDF (573KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To describes the dynamic changes of illness perception and post-traumatic growth and to explore their correlation in postoperative patients with laryngeal cancer at different stages after discharge. Methods A total of 93 postoperative patients with laryngeal cancer were investigated by the Brief Illness Perception Questionnaire and the Post-Traumatic Growth Inventory. Results The scores of illness perception were above the middle level at one month,three months and six months after discharge,which were（51.65±6.77）,（45.09±8.73）,（41.62±9.69）and showed a gradually downward trend（（F=188.272,P<0.001）. The scores of post-traumatic growth were all in the middle level,which were（60.27±8.40）,（67.69±9.53）,（70.25±10.07）and in a gradually increase tendency（F=144.187,P<0.001）. Analysis of partial correlation showed that,there was a moderately negative correlation between the total score of illness perception and the total score of post-traumatic growth at three months and six months after discharge（r=-0.468,P<0.001;r=-0.418,P<0.001）. Conclusion The illness perception and post-traumatic growth of postoperative patients with laryngeal cancer show dynamic changes. The less negative perception of patients,the more conducive to the occurrence of post-traumatic growth.

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Self-concealment and its influencing factors of type 2 diabetes patients XU Li-xian,CHEN Shi-qi,LIU Si-wen,QIU Gui-fang,FAN Yong-fang,GUO Xing-rong 2020, 17 (10):  932-936.  doi: 10.3761/j.issn.1672-9234.2020.10.014 Abstract ( 235 )   HTML ( 0 )   PDF (690KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the current status of self-concealment in patients with type 2 diabetes and to analyze its influencing factors. Methods A total of 168 patients with type 2 diabetes were investigated using the Self-Concealment Scale（SCS）,Self-Esteem Scale（SES）and Social Support Rating Scale（SSRS）. Results The self-concealment score of patients with type 2 diabetes was（35.15±4.61）. Education level,living status,comorbidity,self-esteem,and social support were the main influencing factors of self-concealment in patients with type 2 diabetes,which could explain 49.7% of the total variation. Conclusion The self-concealment in patients with type 2 diabetes is at a moderately high level. Health workers should implement individualized interventions according to the situation of patients with type 2 diabetes,and strive to improve the level of self-esteem and social support of patients,thereby to reduce the level of self-concealment of patients.

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A survey of self-transcendence level and its risk factors of patients with cerebral hemorrhage during recovery stage KANG Chan-juan,GUAN Cui-ping,GU Ying-ying,ZHANG Huan,HUANG Dong-mei 2020, 17 (10):  937-940.  doi: 10.3761/j.issn.1672-9234.2020.10.015 Abstract ( 273 )   HTML ( 0 )   PDF (538KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the level of self-transcendence in patients with cerebral hemorrhage during recovery stage and analyze its influencing factors. Methods A total of 146 patients with cerebral hemorrhage during the recovery stage were investigated using Self-Transcendence Scale,Mishel Uncertainty in Illness Scale and Simplified Coping Style Questionnaire. Results The self-transcendence score of patients with cerebral hemorrhage during recovery stage was（36.97±5.07）. Multiple linear regression analysis showed that education level,daily self-care degree,uncertainty in illness,and active coping were the influencing factors of self-transcendence in patients with cerebral hemorrhage recovery,which could explain 50.5% of the total variation. Conclusion The level of self-transcendence of patients with cerebral hemorrhage during recovery stage is relatively poor. Medical staff should implement individualized intervention based on the factors affecting the level of self-transcendence of patients,so as to improve the level of self-transcendence of patients.

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Meta integration of nurses’ experience as the second victim in medical adverse events MA Shuo,XU Dong-e,FENG Qin 2020, 17 (10):  941-948.  doi: 10.3761/j.issn.1672-9234.2020.10.016 Abstract ( 418 )   HTML ( 0 )   PDF (1149KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically summarize the psychological experience of nurses as the second victim in medical adverse events,and to fully understand their real needs,so as to inform a basis for better intervention measures. Methods Cochrane Library,PubMed,Web of Science,EBSCO,Embase,CNKI,Wanfang Database,CBM,VIP Database and Taiwan Airiti Library Database were searched. These qualitative research on nurses’ experience as the second victim in medical adverse events was collected. The retrieval period was up to December 2019. The quality of the literature was evaluated by the quality evaluation criteria of the Australian JBI evidence-based Health Care Center and the results were analyzed by the method of collective integration. Results A total of 9 studies were included,24 intact and clear research results were extracted,similar research results were summarized into 9 new categories and 4 integrated results were obtained including nurses’ ways of dealing with adverse events were different from time to time;the occurrence of adverse events made nurses bear great pressure;the occurrence of adverse events promoted the positive development of nursing to a certain extent;the perceived social support in adverse events was very important. Conclusion While medical organizations focus on improving public awareness and tolerance of the second victim and advocating the culture of non-punishment,they should establish a clear procedure for investigating adverse events and give spiritual support to the second victim,urge the second victim to return to work as soon as possible and promote the continuous development of nursing in our country.