Table of Content

15 April 2023, Volume 20 Issue 4 Previous Issue    Next Issue

Research Paper

Select

Research on the construction of progressive innovation and entrepreneurship curriculum system for nursing undergraduates HUANG Yuxing, LI Yan, LIU Ning, SHI Yalin, HUANG Yu 2023, 20 (4):  389-394.  doi: 10.3761/j.issn.1672-9234.2023.04.001 Abstract ( 308 )   HTML ( 0 )   PDF (711KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a progressive innovation and entrepreneurship course system that suitable for nursing undergraduates. Methods According to the ability requirements from easy to difficult，a progressive innovation and entrepreneurship curriculum system was preliminarily constructed by using the literature review，including basic courses（school public elective courses），experimental courses（nursing professional elective courses） and practical courses（nursing professional elective courses）. These courses are carried out throughout the first grade to the third grade. Among them，the first grade mainly cultivates the basic knowledge and thinking of innovation and entrepreneurship，the second grade mainly provides guidance and skill training for participating projects，and the third grade mainly carries out practical training with the help of innovation and entrepreneurship incubation laboratory. Using the Delphi technique，13 teachers and experts with experience in guiding innovation and entrepreneurship competitions were selected to conduct two rounds of correspondence inquiries on the teaching content，course weight，class hours setting，and assessment methods of the course system. Results The recovery rates of the two rounds of expert letter inquiries were both 100%. The Kendall’s W coefficients of the two rounds of expert consultation were 0.146 and 0.181 respectively（both P<0.05）. The constructed curriculum system of innovation and entrepreneurship for nursing undergraduates is as follows：basic course including 9 contents with 30 class hours；experimental course including 17 contents with 32 class hours；practical course including 9 contents with 32 class hours. Conclusion The constructed progressive innovation and entrepreneurship curriculum system for nursing undergraduates is scientific and reliable，which can provide reference for training innovative nursing talents in the future.

Select

Construction and application of structured education program for patients after percutaneous coronary intervention WANG Liyan, HUANG Xia, LU Xiaohong, JIA Peipei, WANG Bin, CAO Lihua 2023, 20 (4):  395-402.  doi: 10.3761/j.issn.1672-9234.2023.04.002 Abstract ( 246 )   HTML ( 1 )   PDF (1162KB) ( 17 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a structured education program for patients after percutaneous coronary intervention（PCI），and to explore the effect of the structured education program in the self-management of patients. Methods Through literature review，semi-structured interview and Delphi technique，we constructed a structured education program for patients after PCI. A total of 115 patients who received PCI in the cardiology department of a tertiary A level hospital from January to April 2021 were selected by convienient sampling. Patients in the control group（n=57） received conventional health education and those in the treatment group（n=58） accepted structured education. The Coronary artery disease Self-Management Behavioral Scale was used to investigate patients in both groups before intervention，3 months and 6 months after discharge. Results The positive coefficient of experts of the two rounds of expert correspondence inquiry was 94% and 100%，the authority coefficient was 0.907 and 0.910 respectively，and the Kendall’s coordination coefficient was 0.245 and 0.313 respectively（all P<0.001）. The structured education program consists of 7 modules，78 pieces of objectives and 58 contents. In the application of the scheme，there was an interaction effect between groups and time for the total score of self-management in the two groups（F=114.573，P<0.001）. The simple effects analysis showed that the scores of self-management behavior in the treatment group were higher than those in the control group at 3 and 6 months after discharge（P<0.05）. Conclusion The constructed structured education program for patients after PCI is scientific，reliable and practical. Structured education can significantly improve self-management for coronary heart disease in patients after PCI.

Select

Development of a nursing minimum data set for long-term care services in aged care settings LI Xiran, WU Xiaofen, SU Ting, LIANG Jin, WANG Lijie, WANG Ning 2023, 20 (4):  403-408.  doi: 10.3761/j.issn.1672-9234.2023.04.003 Abstract ( 270 )   HTML ( 1 )   PDF (843KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a nursing minimum data set for long-term care services in aged care settings in China. Methods The minimum data set for long-term care services was formulated based on a review of relevant literature，observation of aged care practice，interviews with care staff in a residential aged care institution，and qualitative content analysis of aged care nursing documentation. In the two-round Delphi process，23 experts were invited to assess the data elements in the data set. Results The response rate of the expert consultation questionnaire in the two-round Delphi process was 81% and 88% respectively. The expert authority coefficient of the two-round expert consultations was 0.90 and 0.88 respectively. The coefficient of concordance Kendall’s W for both two consultation were regarded as being statistically significant（P<0.001）. Finally，a minimum data set with 255 data elements were constructed，including 60 nursing history data elements，69 nursing diagnoses，62 nursing interventions，and 64 nursing outcomes. Conclusion The minimum data set for long-term care services in aged care settings in China was established，consisting of comprehensive data elements covering the steps of the nursing process model and a comprehensive care scope. The data set will provide reference for the development of nursing practice and information systems in long-term for aged care settings.

Select

Development and validation of Dietary KAP Questionnaire for hemodialysis patients ZHANG Yuan, ZHAO Yana, ZHANG Xiaoyu, ZHU Jinrong, MEN Haiyan, ZHAO Weiwei, SU Chunyan 2023, 20 (4):  409-414.  doi: 10.3761/j.issn.1672-9234.2023.04.004 Abstract ( 199 )   HTML ( 0 )   PDF (806KB) ( 15 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop and examine the reliability and validation of Dietary Knowledge-Attitude-Practice（KAP） questionnaire for hemodialysis patients. Methods According to the theory of knowledge，belief and practice，the Questionnaire item pool was preliminarily constructed through literature analysis and focus interviews with four experts. Delphi method was applied with consultation of 14 experts. Then，the content of the questionnaire was adjusted according to the experts’ opinions to form the first draft. A total of 281 hemodialysis patients were investigated through the draft scale，and item analysis，reliability test and exploratory factor analysis were carried out afterward. Among the patients，28 of them were tested again with an interval of two weeks，and the retest reliability of the questionnaire was tested through the data. Results The recovery rate of the two rounds of correspondence questionnaire was 100%，the expert authority coefficient was 0.936，and the Kendall coordination coefficient of the items in the second round of correspondence questionnaire was 0.258（P<0.05）. The Dietary KAP Questionnaire for hemodialysis patients included three dimensions of 34 items. The overall content validity of the questionnaire was 0.79. Cronbach’s α coefficient of the total questionnaire was 0.868，and the retest reliability was 0.845. A total of nine factors were generated by exploratory factor analysis，among which four factors of knowledge dimension （knowledge related to dietary potassium intake，protein energy intake，volume control，and dietary phosphorus intake），one factor of attitude dimension，and four factors of behavior dimension（dietary control，dietary monitoring，cooking skills，and selection of alternative condiments）. The cumulative variance contribution rate was 64.214%. The load of each item on each factor was >0.4. Conclusion The questionnaire holds good reliability and validity，which can be used to evaluate the dietary KAP of hemodialysis patients.

Smarter Learning

Select

Design and practice of virtual simulation experiment teaching for rescue of airway foreign body obstruction in the elderly based on motivation theory LIN Dan, RONG Youhe, SUN Rong, BAI Yamei, ZHANG Yi-xiong, PAN Yalan 2023, 20 (4):  415-420.  doi: 10.3761/j.issn.1672-9234.2023.04.005 Abstract ( 216 )   HTML ( 2 )   PDF (1348KB) ( 17 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the design and practice effect of virtual simulation experiment teaching based on motivation theory. Methods Two hundreds and seven nursing undergraduates were selected by purposive sampling. Then teaching practice through three steps were carried out，including pre-class online self-study，classroom teaching and after-class consolidation，after which，the teaching effect was investigated. Results The times of students logging in the virtual simulation experiments system was 6.43±2.10，the median duration was 35 min，the first experiment test score was 73.01±28.58，the highest experiment test score was 95.05±3.38，and the total experimental teaching score was 88.64±7.51. The students’ self-assessment of the benefit degree of virtual simulation experiment learning was 4.20，the perceived interest was 4.30，and the degree of learning participation was 4.51. The feedback results of students showed that the clinical situation of the virtual simulation experiment was relatively close to the reality，with high comprehensive and repeatable，which could attract students’ attention，promote knowledge integration，and improve learning self-confidence. At the same time，students hoped to add the types of cases and targeted guidance to meet the personalized learning needs. Conclusion The virtual simulation experiment teaching design based on motivation theory can effectively stimulate students’ learning motivation.

Select

Construction and application of clinical thinking training platform for higher vocational nursing students HU Bimei, SUO Yimei, LUO Wenping 2023, 20 (4):  421-425.  doi: 10.3761/j.issn.1672-9234.2023.04.006 Abstract ( 197 )   HTML ( 0 )   PDF (827KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design and develop clinical thinking training platform for nursing students and explore its application effect on clinical thinking ability of higher vocational nursing students. Methods The clinical thinking training platform for nursing students in higher vocational colleges was designed with common clinical symptoms as the main line and nursing procedures as the framework. In the practical course of comprehensive nursing training，the platform was used to assist the teaching of 304 students（experimental group） in Grade 2018，and 325 students（control group） in Grade 2017 were taught with the traditional clinical case analysis method. The OSCE score of clinical thinking ability and the score of self-directed learning ability of the students in the two groups were compared after the course. Results The OSCE score of clinical thinking ability and self-directed learning ability of the experimental group were significantly higher than those of the control group（P<0.05）. Conclusion The constructed nursing clinical thinking training platform has good application value，which is helpful to improve the clinical thinking ability and self-directed learning ability of nursing students.

Select

Bibliometric analysis of the research on nursing education informatization in China HUANG Dan 2023, 20 (4):  426-429.  doi: 10.3761/j.issn.1672-9234.2023.04.007 Abstract ( 203 )   HTML ( 0 )   PDF (892KB) ( 19 )   Save Figures and Tables | References | Related Articles | Metrics Objective To reveal the development track，hotspots and existing problems of the research on nursing education informatization in China，and to explore the future research direction. Methods We searched for papers on informatization of nursing education in CNKI，VIP and Wanfang databases from 2012 to 2022. The number of papers published annually and the source of journals were counted，and the keyword co-occurrence maps were generated by the visualization software CiteSpace，and cluster analysis was carried out on the research topics. Results From 2012 to 2022，the research papers related to the informatization of nursing education in China showed an overall upward trend and then a downward trend. Five research hotspots including：information literacy and information technology application，teaching design and methods，teaching concept and mode，teaching management and evaluation，and teaching resource construction. Conclusion In the future，we should strengthen research in the following aspects：the combination of information literacy theory and nursing education practice，the application of emerging technologies in nursing education informatization，the construction of information-based teaching quality evaluation system，and the construction and integration of digital teaching resources.

Select

Application of informationized risk checklist in clinical teaching of nursing interns YANG Dongju, LI Zifeng, LI Fangfang, PENG Jiaqin, XI Zuyang 2023, 20 (4):  430-434.  doi: 10.3761/j.issn.1672-9234.2023.04.008 Abstract ( 232 )   HTML ( 0 )   PDF (1073KB) ( 16 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the application effect of informationized risk list in nursing clinical teaching. Methods A total of 395 nursing interns in a third-grade A general hospital in Yichang City were selected as the research objects from July 2019 to April 2021，and were divided into control group（n=204） and experimental group（n=191） successively according to the practice time. The control group was given one-to-one instruction，while the experimental group was given information risk list instruction additionally. The clinical nursing ability and teaching satisfaction of the two groups were compared. Results The total score of clinical nursing ability and scores of all dimensions of the experimental group were higher than those of the control group（P<0.05）. The satisfaction rates of the experimental group in stimulating learning interest，integrating theory with practice，and improving operational skills were better than that of the control group（P<0.05）. Conclusion Informationized risk list can improve interns’ clinical nursing ability and clinical teaching quality to some extent.

Nursing Education

Select

Research on the professional social practice of higher vocational students majoring in elderly care from the perspective of labor education CHEN Yubao, LIAO Yanfang, FU Xuelian, ZENG Chunyan, DENG Shuiping 2023, 20 (4):  435-438.  doi: 10.3761/j.issn.1672-9234.2023.04.009 Abstract ( 152 )   HTML ( 0 )   PDF (808KB) ( 14 )   Save References | Related Articles | Metrics Objective To explore the effect of professional social practice in higher vocational students majoring in elderly care guided by labor education policy in the New Era. Methods Seventy students majoring in the elderly care were selected and carried out 16 hours （8 times） of professional social practice in homes for the aged. Students were divided into groups（2~3 people/group） and then accompanied the elderly under the guidance of school teachers and part-time teachers，such as practicing “one stroke drawing”，Tai Chi，the Eight-brocade Exercise （Ba Duan Jin），sunbathing，etc. Students were required to write reflective diaries after each professional social practice. Meanwhile，students were investigated with the Chinese version of Kogan’s Attitudes towards Old People Scale before and after the practice. Results A total of 553 reflection diaries were collected，and five themes were extracted：the practice process of moving from restraint to freedom；feeling the loneliness of the elderly；enhancing professional identity；accumulation practical experiences；benefits from the spiritual wealth of the elderly. After professional social practice，the scores of students’ attitudes toward old people were higher than that before professional social practice（t=3.969，P<0.001）. Conclusion The professional social practice in higher vocational students guided by labor education in the New Era can achieve the dual effects of vocational education and labor education.

Select

Multi-dimensional analysis of external characteristics of national planning teaching materials for higher nursing vocational education HU Gaobo, CHEN Yueqing, RAO Heping 2023, 20 (4):  439-444.  doi: 10.3761/j.issn.1672-9234.2023.04.010 Abstract ( 166 )   HTML ( 0 )   PDF (703KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To observe the characteristics and differences of project data between higher vocational nursing and other medical and health specialties courses in national planning teaching materials for vocational education，and to provide reference for the construction of national planning teaching materials for nursing vocational education. Methods A total of 108 medical and health project approved textbooks for higher vocational education in the national planning of “13th Five-Year Plan” were selected as the research objects，including 74 nursing textbooks and 34 other medical and health professional textbooks. Comparative analysis was made on the differences in the external characteristics of textbooks for nursing and other medical and health majors from the six dimensions：the total number of textbooks and curriculum structure，repeated course textbooks，the level of the first chief editor unit，the number of editions of textbooks published，the number and distribution of publishing houses，and the distribution of ownership schools. Results The project approval rate of nursing teaching materials in higher vocational colleges（1.88%） was significantly higher than that of other medical and health teaching materials （0.86%），and the difference was statistically significant（χ2=15.020，P<0.001）. In term of repeated course teaching materials，nursing teaching materials involved 17 courses（44%），and other teaching materials of medicine and health involved 3 courses（10%），the difference was statistically significant（χ2=9.733，P=0.002）. Considering the factors of repeated course materials，there was no significant difference in the teaching materials used for professional teaching between nursing（39，0.99%） and other medical and health specialties（31，0.79%）（χ2=0.922，P=0.337）. In terms of curriculum structure，there was no significant difference between nursing and other medical and health specialties in the proportion of basic courses，core courses and extended courses（P>0.05）. In terms of the number of editions of textbooks published，nursing was significantly more than medicine and health specialties（χ2=7.496，P=0.024）. There was no significant difference in the level of the first chief editor unitand the number and distribution of publishing houses dimensions between nursing and other medical and health categories（P>0.05），but People’s Medical Publishing House and Higher Education Press have strong advantages in publishing other medical and health textbooks. Some universities such as Yongzhou Vocational and Technical College and Chongqing Three Gorges Medical College are outstanding in the construction of nursing planning teaching materials. Conclusion The construction of national planning teaching materials for higher vocational nursing education has obvious advantages，the construction strength of some course materials is strong，but there is some imbalance. Nursing educators can effectively improve the quality of nursing teaching materials and enhance the competitiveness from the aspects of teaching materials planning，compilation team，publication review，revision and improvement.

Select

The construction and practice of the pathway for the cultivation of geriatric nursing talents in higher vocational schools CHEN Ling, ZHANG Dongdong, SHI Yuhua, GAO Feng, HAO Ling 2023, 20 (4):  445-450.  doi: 10.3761/j.issn.1672-9234.2023.04.011 Abstract ( 197 )   HTML ( 3 )   PDF (967KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Guided by "standard nesting"，"process nesting" and "employment nesting"，through the tripartite collaboration of higher vocational school，hospital or community，and higher vocational nursing students，we reconstructed the chimeric geriatric nursing curriculum system. Specifically，the teaching reform includes integrating the ideological and political elements of the curriculum into professional teaching，integrating the teaching content of geriatric nursing into the main curriculum，integrating the practice of geriatric nursing into the professional practice，integrating the progressive social practice activities into the whole process，and integrating the "post-course- -competition-certificate" into the parallel training. Finally，we reconstructed the resources guarantee for the cultivation of talents. We promoted the synchronous improvement of the core ability of elderly care and general nursing ability and provided reference for the training of elderly nursing talents in higher vocational colleges.

Clinical Teaching

Select

The application of Feynman learning method combined with mind mapping in clinical nursing teaching of diabetes chronic complications HAO Li, ZHENG Xin, WANG Peng, WANG Panpan, YUAN Yuan 2023, 20 (4):  451-456.  doi: 10.3761/j.issn.1672-9234.2023.04.012 Abstract ( 321 )   HTML ( 3 )   PDF (1059KB) ( 19 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of Feynman learning method combined with mind mapping in clinical nursing teaching of diabetes chronic complications. Methods Nursing students who practiced from September 2021 to April 2022 were divided into experimental group（n=31） and control group（n=34） in chronological order. The experimental group was taught by Feynman learning method combined with mind mapping and the control group was taught by the traditional teaching method. Theory examination and self-learning ability of the two groups were compared. Besides，students’ evaluation in the experimental group on the course was collected. Results After teaching，the total examination score of students in the experimental group（73.39±9.02） was higher than that of the control group（58.79±5.03）（t=7.952，P<0.001）. The score of independent learning ability in the experimental group（118.16±5.89） was higher than that in the control group（109.53±7.55）（t=5.105，P<0.001）. Totally 26 students in the experimental group were satisfied with the overall effect of the course. Conclusion The application of Feynman learning method combined with mind mapping in clinical nursing teaching of diabetes chronic complications can improve students’ independent learning abilities，enhance the teaching effect and satisfaction.

Continuing Education

Select

The construction of critical nursing training program for new nurses based on case base DU Lixia, ZHANG Yan, ZANG Shuting, HAN Xu, REN Ying 2023, 20 (4):  457-461.  doi: 10.3761/j.issn.1672-9234.2023.04.013 Abstract ( 229 )   HTML ( 1 )   PDF (876KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a critical nursing training program for new nurses based on case base，and to provide reference for the training of core competence of critical nursing for new nurses. Methods Through case collection and compilation，case review and revision，and case code warehousing，a case library consisting of eight diseases and 38 critical cases was formed. On the basis of literature analysis，semi-structured interviews were conducted with newly admitted clinical nurses to design and develop the first draft of critical nursing training program. Two rounds of correspondence consultation were conducted with eight experts by group meeting to form the critical nursing training program for new nurses. Results The critical nursing training program for new nurses was finally developed，including training objectives，implementation strategies for training activities，training content and evaluation. The expert authority coefficient was 0.938，which suggested high credibility of the result. Conclusion The critical nursing training program of newly nurses based on case database is scientific and reliable，which can be used for the critical nursing training of new nurses in grade Ⅲ，class A hospitals. Besides，this training program still needs to be improved and evaluated through practice.

Select

The reliability and validity of the Chinese version of the Clinical Nurses’ Reflective Ability Scale SHAO Lijiao, WANG Junxia, WU Tianrui, ZHAO Yuhua, GE Shuyi 2023, 20 (4):  462-466.  doi: 10.3761/j.issn.1672-9234.2023.04.014 Abstract ( 266 )   HTML ( 0 )   PDF (613KB) ( 15 )   Save Figures and Tables | References | Related Articles | Metrics Objective To translate the Clinical Nurses’ Reflective Ability Scale into Chinese and to test its reliability and validity. Methods With the authorization of the original author，literal translation，back translation and cultural adjustment of the Clinical Nurses’ Reflective Ability Scale were carried out based on the Brislin translation model. A total of 424 nurses were recruited and investigated by the Chinese version scale，and 50 nurses were randomly selected to retest. Besides，seven experts evaluated the content validity to test the reliability and validity of the scale. Results The Chinese version scale included 19 items and three dimensions：review，reflection and expanding nursing practice. The range of S-CVI was 0.947 and the I-CVI was ranged from 0.857 to 1.000. Three common factors were extracted by exploratory factor analysis，and the cumulative variance contribution rate was 51.865%. Confirmatory factor analysis showed：χ2/df=1.602，RMSEA=0.052，CFI=0.941，GFI=0.902，IFI=0.942，TLI=0.932. The total Cronbach’s α coefficient of the scale was 0.901，and retest reliability coefficient were 0.948. Conclusion The Chinese version of the scale has good reliability and validity in the domestic cultural background and could be deemed as a valid instrument for assessing reflective ability of clinical nurses.

Health Education

Select

The effect of non-pharmacological interventions on fatigue of patients with maintenance hemodialysis：a network meta-analysis LU Xianying, HOU Zhaoming, GAO Jing, BAI Dingxi, LIU Ruirui, CHEN Tingting 2023, 20 (4):  467-473.  doi: 10.3761/j.issn.1672-9234.2023.04.015 Abstract ( 163 )   HTML ( 0 )   PDF (1151KB) ( 20 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate the effect of difference non-pharmacological interventions on fatigue of patients with maintenance hemodialysis by network meta-analysis. Methods The PubMed，Embase，Web of Science，Cochrane，CNKI，VIP，Wanfang data，SinoMed and CINAHL were electronically searched to collect articles on non-pharmacological interventions for fatigue management in patients with maintenance hemodialysis before February 2022. Two researchers screened the articles，evaluated the quality of the included studies，as well as extracted and analyzed the data independently. Results A total of 27 articles and 13 kinds of non-pharmacological interventions were included，with a total of 2，315 patients. The results of network meta-analysis showed that the effects of acupuncture，aromatherapy，muscle relaxation training，acupressure massage，aerobic exercise were better than those of routine care（P<0.05）. Furthermore，compared with other 12 measures，acupuncture showed significantly stronger effects on fatigue（P<0.05）. The top three interventions were acupuncture，aromatherapy，and muscle relaxation training. Conclusions Acupuncture，aromatherapy，muscle relaxation training，acupoint massage，and routine aerobic exercise are more effective than routine interventions in relieving fatigue in patients with maintenance hemodialysis. Acupuncture has the best effect on fatigue；however，the conclusion needs to be further verified by high-quality RCTs with multi-centers and large sample size.

Select

Translation and psychometric properties of the Chinese version of the Preparedness Assessment for the Transition Home after Stroke（PATH-s） Instrument ZHANG Meng, YU Liping, MENG Xianmei 2023, 20 (4):  474-479.  doi: 10.3761/j.issn.1672-9234.2023.04.016 Abstract ( 306 )   HTML ( 0 )   PDF (742KB) ( 12 )   Save Figures and Tables | References | Related Articles | Metrics Objective To translate the scale of Preparedness Assessment for the Transition Home after Stroke （PATH-s） into Chinese，and to examine its reliability and validity. Methods According to the Brislin translation model，PATH-s was translated into Chinese. A total of eight experts were invited to assess the content validity，and 30 family caregivers of stroke patients were selected for the preliminary test. After that，convenience sampling was employed to recruit 140 participants for the test of its reliability and validity. Results The Chinese PATH-s instrument consisted of eight factors and 25 items. The content validity of the total questionnaire（S-CVI） was 0.96，and ranged from 0.90 to 1.00 for each item（I-CVI）. The Caregiver Preparedness Scale and Chinese version of the PATH-s was significantly positive related（r=0.760）. According to the results of exploratory factor analysis，the cumulative variance contribution rate of the eight dimensions reached 73.568%. The overall Cronbach’s α of the scale was 0.846. Conclusion The Chinese version of PATH-s owns satisfied reliability and validity and could be deemed as a scientific and reliable instrument that can be used to evaluate the transition preparation of caregivers for stroke patients.

Clinical Practice

Select

Research on the status and influencing factors of health-related hardiness in lung cancer patients undergoing chemotherapy LI Yongdong, LI Yumei, ZENG Feiyan, HUANG Yifei, LU Ning, NIU Xuejing 2023, 20 (4):  480-484.  doi: 10.3761/j.issn.1672-9234.2023.04.017 Abstract ( 211 )   HTML ( 0 )   PDF (627KB) ( 15 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the status and influencing factors of health-related hardiness in lung cancer patients undergoing chemotherapy. Methods A total of 286 lung cancer patients undergoing chemotherapy admitted in a grade Ⅲ，class A hospital in Guangzhou from July 2020 to August 2021 were selected using convenience sampling method. The general information questionnaire，Health-related Hardiness Scale，General Self-Efficacy Scale，Social Support Rating Scale were employed for assessment. Results The health-related hardiness scores of lung cancer patients undergoing chemotherapy were（114.51±18.23） points. The results of multiple linear regression analysis showed that gender，family per capita monthly income，pathological stage，self-efficacy，and total social support scores were the main influencing factors of health-related hardiness scores，which explained 43.8% of the total variance. Conclusion The health-related hardiness of lung cancer patients undergoing chemotherapy is at a moderately low level. Medical staff should pay more attention to male patients，patients with lower family per capita monthly income and worse pathological stages. Meanwhile，they need to enhance patients’ self-efficacy and mobilize patients’ social support system，so as to improve patients’ health-related hardiness and promote the physical and mental recovery of the patients.

Select

Analysis of self-compassion status and influencing factors in hematological malignancies patients ZHANG Wei, CHEN Jing, WANG Aihong 2023, 20 (4):  485-489.  doi: 10.3761/j.issn.1672-9234.2023.04.018 Abstract ( 193 )   HTML ( 0 )   PDF (640KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the self-compassion status of hematological malignancies patients and analyze its influencing factors. Methods A total of 197 patients hospitalized in hematology department were selected using convenience sampling method and were investigated with general information questionnaire，Chinese version of Self-Compassion Scale and Perceived Social Support Scale. Results The total score of self-compassion was（83.76±9.97）. And there was a positive correlation（r=0.506） between self-compassion and social support in patients with hematological malignancies. Multiple linear regression analysis showed that married（compared with unmarried），rural （compared with urban），and social support were the relevant factors of self-compassion in hematological malignancies patients（P<0.05），which accounted for 30.4%（F=13.252，P<0.001） of the total variation. Conclusion The self-compassion level needs to be improved，and clinical nurses should strengthen the psychological counseling for married，rural hematological malignancies patients with a low level of social support. It is necessary to enhance the self-compassion level of tumor patients，so as to improve their psychological coping ability.

Select

The status and influencing factors of post-stroke fatigue among rural patients with first-episode ischemic stroke in Henan Province XU Ke, ZHANG Huimin, SUN Yuyan, MA Junyan, ZHANG Xiaoyan, PAN Qin, ZHOU Qingyang, ZHAO Lijuan, FANG Xiaoxia 2023, 20 (4):  490-494.  doi: 10.3761/j.issn.1672-9234.2023.04.019 Abstract ( 161 )   HTML ( 0 )   PDF (629KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the status and influencing factors of post-stroke fatigue among rural patients with first-episode ischemic stroke in Henan Province. Methods The demographic information questionnaire，the Fatigue Severity Scale（FSS），the Self-Rating Anxiety Scale（SAS），the Self-Rating Depression Scale（SDS），and the Uncertainty in Illness Scale for Adults （MUIS-A） were used to investigate 407 rural patients with first-episode ischemic stroke in 50 administrative villages in North Henan. Results The fatigue score of patients in rural areas was （4.30±1.61）. Fatigue was positively correlated with anxiety，depression，and uncertainty in illness（r=0.435， 0.405，0.294，respectively，P<0.05）. The results of multiple linear regression analysis showed that medical insurance for urban workers（with reference to the medical insurance for urban and rural residents），whether there is a chronic disease，anxiety，depression and uncertainty in illness were the influencing factors of fatigue in rural patients with ischemic stroke（P<0.05），which can explain 30.0% of the total variance. Conclusion The fatigue of patients with first-episode ischemic stroke in rural areas of Henan Province is relatively serious，and the fatigue status of this population should draw adequate attentions. Corresponding interventional measures should be developed according to the influencing factors to alleviate the fatigue symptoms of the patients.

Review

Select

Research progress of compassion fatigue in pediatric nurses XU Xiangmin, LI Mingxia, ZHANG Jingwei, ZHAO Qitong 2023, 20 (4):  495-499.  doi: 10.3761/j.issn.1672-9234.2023.04.020 Abstract ( 190 )   HTML ( 0 )   PDF (637KB) ( 10 )   Save References | Related Articles | Metrics In this paper，we summarized the concept，composition and manifestation of compassion fatigue. In addition，the assessment tools of compassion fatigue，the incidence of compassion fatigue and its impact on pediatric nurses were introduced. Intervention measures for compassion fatigue in pediatric nurses were proposed from the individual and organizational levels，aiming at drawing pediatric nurses’ attention to compassion fatigue and providing reference for further related studies.

Select

Patient decision aids for patients with chronic kidney disease in choosing modality of the renal replacement therapy：a scoping review ZHENG Xutong, ZHANG Man, QIN Zhuzhu, YE Xinxin, CHEN Xiaofeng, WANG Zhouhua, ZHAN Chenju 2023, 20 (4):  500-507.  doi: 10.3761/j.issn.1672-9234.2023.04.021 Abstract ( 167 )   HTML ( 1 )   PDF (901KB) ( 17 )   Save Figures and Tables | References | Related Articles | Metrics Objective To examine the scope of patient decision tools for renal replacement therapy in the field of chronic kidney disease，to identify the methods and core elements of the development and validation of patient decision aids，and to provide guidance for the development of patient decision aids in China. Methods This scoping review was conducted under the guideline of the framework with a five-step approach developed by Arksey and O’Malley. A comprehensive search of literature was conducted in databases including PubMed，OVID database （Embase，Cochrane Library，JBI evidence-based database），CINAHL，ProQuest database，Ottawa Hospital Research Institute，NICE，and Option Grids，CNKI，Wanfang Data，and VIP Database. The limit of time was set from the date of databases’ establishment to February 24，2022. The qualified studies were analyzed and summarized. Results A total of 26 articles were included，including 14 studies related to the development and validation of patient decision aids，and 12 focused on patient decision aids tools. Generally，both stakeholders and non-stakeholders were involved in the development process of patients decision tools for chronic kidney disease. Meanwhile，Ottawa Decision support Framework and international patient decision aid standards were usually selected as the standard or theoretical framework for development. Validation research mainly involved three aspects：feasibility and availability of the tool，decision-related outcome of patients，and change of knowledge level among patients. The content elements mainly included health information，decision guidance，reference evidence，and supplementary information. The forms of information presentation mainly included：using diagrams to present obscure and abstract knowledge；employing a rating scale to help patients sort out their decision-making preferences，and realizing interactive functions through web pages. Conclusion Patient decision aids hold a positive impact on the pre-dialysis education of patients with chronic kidney disease and presents good acceptability and ease to use. Future research needs to consider the specific medical situation in China to develop more suitable patients decision aids and explore the facilitating and obstructive factors in promoting the implementation of shared decision-making.

Select

Research progress on self-management of adult patients with epilepsy WU Tao, FANG Yuanyuan, QIAN Ruilian 2023, 20 (4):  508-512.  doi: 10.3761/j.issn.1672-9234.2023.04.022 Abstract ( 161 )   HTML ( 0 )   PDF (610KB) ( 12 )   Save References | Related Articles | Metrics Epilepsy is a recurrent neurological disorder. Self-management intervention for adult patients with epilepsy can help them change their behavior to manage seizures and treatment better. Self-management interventions can effectively help patients to control epilepsy in a low-cost，high-benefit way and improve their health-related quality of life. This paper reviewed the concept，current status，assessment tools and interventions of self-management of adult patients with epilepsy. Besides，some suggestions on the implementation of interventions in this group has been put forward，in order to provide reference for development of self-management of adult patients with epilepsy in China.