Table of Content

15 May 2023, Volume 20 Issue 5 Previous Issue    Next Issue

Emergency and Critical Care Nursing Talents Training

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Application of motivation-oriented online teaching in Emergency and Critical Care Nursing in undergraduates HAO Yanjie, JIN Ruihua, HUAI Panpan, HAO Pei, GAO Miaomiao, NIE Yuqin 2023, 20 (5):  517-522.  doi: 10.3761/j.issn.1672-9234.2023.05.001 Abstract ( 256 )   HTML ( 1 )   PDF (955KB) ( 20 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the application effect of ARCS motivation model in online theory teaching of Emergency and Critical Care Nursing course. Methods Nursing undergraduates of grade 2019 in a university in Shanxi Province were selected as the research group. One hundred and twenty-six students from 5 classes were selected as the control group and 126 students from the other 5 classes were selected as the experimental group by drawing lots. In the theoretical course of critical nursing，the control group implemented routine online teaching，while the experimental group implemented motivation oriented online teaching based on attention，relevance，confidence and satisfaction. After the course，the two groups were compared in terms of their academic performance and learning motivation，and the evaluation of the experimental group. Results After the course，the academic performance of the experimental group（86.32±3.80） was higher than that of the control group（83.84±3.32）. The learning motivation score of the experimental group（90.37±6.01） was higher than that of the control group（83.36±5.21），and the differences were statistically significant（P<0.05）. There were statistically significant differences in learning motivation of the experimental group before and after the intervention（P<0.05）. Conclusion The application of ARCS motivation model in online theoretical teaching of Emergency and Critical Care Nursing can effectively improve the learning motivation of nursing students，and improve the quality and effect of online teaching.

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Revision of the applicability of Mini-Clinical Examination Exercise in the evaluation of nurses’ ability in emergency department ZHANG Huan, GAO Min, LIU Ye, LIN Yan, ZHAO Shan 2023, 20 (5):  523-528.  doi: 10.3761/j.issn.1672-9234.2023.05.002 Abstract ( 233 )   HTML ( 0 )   PDF (997KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective The Mini-Clinical Examination Exercise was modified to make it more suitable to evaluate the clinical ability of nurses in emergency department. Methods Based on the Mini-Clinical Examination Exercise，the first draft of the revised Mini-Clinical Examination Exercise for emergency department nursing was developed by literature review，semi-structured interview and group discussion. Two rounds of expert letter inquiry（n=22） were conducted by using the Delphi technique. Results The effective recovery rates were 91%（20/22） and 100%（20/20） in the two rounds of expert consultation，and the authority of experts in the two rounds was 0.810 and 0.895 respectively. After two rounds of expert consultation，the Kendal coefficient（W） of the assessment contents was 0.16，and that of the reference basis was 0.12. The final revision of the Mini-Clinical Examination Exercise for emergency nursing included six assessment contents and 36 reference basis. Conclusion The revision process of the Mini-Clinical Examination Exercise in Emergency Department is rigorous，and the content of the scale is close to the nursing work in emergency department，which can provide a measurement tool for the evaluation of clinical ability of emergency nurses.

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Delirium nursing ability training practice for pediatric ICU nurses FU Conghui, XU Tingting, YANG Xiaoya, LI Yan, JU Minjie, LIU Ji 2023, 20 (5):  529-533.  doi: 10.3761/j.issn.1672-9234.2023.05.003 Abstract ( 175 )   HTML ( 1 )   PDF (754KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effect of delirium nursing ability training for pediatric ICU nurses. Methods Delirium nursing ability training，including theoretical training and in situ simulation training，was conducted from July to August 2021 for 38 nurses in the ICU of a tertiary children’s hospital in Shanghai. The scores of knowledge，attitude，and behavior of nurses before and after training were compared，and a questionnaire was used to understand nurses’ experiences and perceptions of in situ simulation training. Results After the training，the knowledge score of delirium among pediatric ICU nurses increased from（25.00±6.54） to（30.03±5.49），and the difference was statistically significant（P<0.05），but there was no significant difference in attitude and behavior scores（P>0.05）. Besides，nurses were satisfied with in situ simulation training. Conclusion The delirium nursing ability training for pediatric ICU nurses can effectively improve the knowledge level of delirium，but it has limited impact on delirium nursing attitude and behaviors. In the future，the training content can be further optimized，and a long-term continuous training mechanism can be established to improve the delirium nursing ability of pediatric ICU nurses.

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Study on the current situation of ICU nurses’ interprofessional collaboration ability and its influencing factors LI Qingfeng, WU Ping, XIE Lisi, LIU Ting, TAN Nieqiong, LONG Lijuan 2023, 20 (5):  534-539.  doi: 10.3761/j.issn.1672-9234.2023.05.004 Abstract ( 213 )   HTML ( 1 )   PDF (844KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the current situation and influencing factors of interprofessional collaboration ability of ICU nurses. Methods A total of 270 ICU nurses were investigated and analyzed with the General Information Questionnaire，the Chiba Interdisciplinary Competency Scale and Nursing Working Environment Scale. Results The total score of interdisciplinary cooperation ability of ICU nurses was（124.79±16.76）. The results of multiple linear regression showed that the educational background，learning experience outside the hospital，interest in participating in interprofessional cooperative learning training，the cognition of the necessity of understanding other medical specialties，and nursing work environment entered the regression equation（P<0.05），which explained 55.7% of the total variation of interdisciplinary cooperative ability of ICU nurses. Conclusion The interdisciplinary cooperation ability of ICU nurses is on the upper middle level. Nursing managers should formulate related systems and measures according to ICU characteristics to improve ICU nursing working environment so as to improve ICU nurses’ interdisciplinary cooperation ability.

Nursing Education

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Design and implementation of Geriatric Nursing Social Practice course LIN Yan, XIAO Huimin, ZHANG Xuan, WU Weiwei, CHEN Jingjing, ZHAO Junyu, YE Shan 2023, 20 (5):  540-543.  doi: 10.3761/j.issn.1672-9234.2023.05.005 Abstract ( 232 )   HTML ( 1 )   PDF (716KB) ( 19 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design the Geriatric Nursing Social Practice course and evaluate its effects. Methods The course was developed through a successive process including analyzing the learning situation，establishing the goal of social practice course，building high-quality practice basements，reconstructing the teaching contents，innovating the social practice teaching model，and setting up diversified evaluation indicators. A total of 232 nursing undergraduates of 2019 class were selected as the participants. Course effects were evaluated through examination scores，students’ attitude towards older adults，and the service satisfaction of the elderly and the practice basements. Results The course examination score was（84.30±2.88）. Three themes were extracted from the reflection reports：“knowledge understanding and application”，“ability training and improvement”，and “emotional perception and sublimation”. At the end of the course，the score of the Kogan’s Attitudes towards Old People Scale was higher than that at the beginning of the course（t=5.98，P<0.001）. The satisfaction of old adults and practice basements for students’ social service was 98.72% and 100% respectively. Conclusion Geriatric Nursing Social Practice course can effectively promote students’ knowledge and practical skills of geriatric nursing，and is also helpful to cultivate students’ positive emotion and innovative research ability for the elderly.

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Design and practice of ideological and politics of Health Assessment course WANG Zonghua, ZHOU Houxiu, XIAN Jishu, BIAN Wei, HUANG Lingfang, LIN Li 2023, 20 (5):  544-548.  doi: 10.3761/j.issn.1672-9234.2023.05.006 Abstract ( 260 )   HTML ( 0 )   PDF (739KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop and explore practical effect of an ideological and political teaching program in the course of Health Assessment among nursing undergraduates. Methods The ideological education teaching practice in Health Assessment course was carried out among 28 second-year nursing students. The design of Health Assessment course was developed according to the process of setting up the clear objectives，designing ideological and political elements，and constructing ideological and political case database. Professional courses and ideological and political content were organically integrated and implemented through edification teaching method，case heuristic teaching method，situational simulation teaching method，experiential teaching method，and group discussion method. Experts and students evaluation were used to assess the teaching effect. Results For experts，eight of the ten experts evaluated the ideological and political teaching program as “excellent”. Among the 28 students，more than 20 students rated “excellent” for the ideological and political teaching program. According to the results of open question， students generally believed that the ideological and political content was helpful to improve their professional identity. Conclusion The ideological and political teaching of the Health Assessment course under the concept of progressive moral education has achieved positive results. The content and form have been recognized by the students，which has promoted the coordinated development of professional knowledge and ideological and political education.

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A social constructivim-based curriculum design for Comprehensive Geriatric Assessment Techniques for undergraduate nursing programs WANG Yuan, DING Fu, QIU Dan, YANG Ziying, ZHAO Yue 2023, 20 (5):  549-553.  doi: 10.3761/j.issn.1672-9234.2023.05.007 Abstract ( 182 )   HTML ( 0 )   PDF (852KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a curriculum program of Comprehensive Geriatric Assessment Techniques for undergraduate nursing. Methods The curriculum program design was supported by Social Constructivism theory，following the four steps of Taylor’s model and the literature analysis method，and 16 geriatric nursing experts were selected to conduct two rounds of evaluation of the curriculum program through the Delphi technique. Results The Kendall’s W for the two rounds of expert correspondence on each item were 0.192，0.161，the χ2 value of Kendall’s W coefficient significance test was 202.07 and 154.68（P<0.001），respectively. The Comprehensive Geriatric Assessment Techniques curriculum consists of 12 credit hours and uses a mixed teaching mode of online and offline. The curriculum content includes four modules：general medical assessment，physical function assessment，geriatric syndrome assessment and social assessment. In the second round of consultation，the averages value of importance assessment of each curriculum content item was 4.67 to 5.00，and coefficients of variation were 0 to 0.13. Conclusion The curriculum program is designed scientifically and the content is close to the clinical practice，which can be used in teaching together with the theoretical courses of geriatric nursing to realize the comprehensive training of geriatric nursing knowledge and professional skills.

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The current situation and its influencing factors of alexithymia in fresh nursing students in vocational colleges GUO Qin, ZHANG Xiangeng, WANG Hongyan, CAO Jun, LIU Linfeng, ZHOU Fan, WANG Yuting 2023, 20 (5):  554-558.  doi: 10.3761/j.issn.1672-9234.2023.05.008 Abstract ( 172 )   HTML ( 1 )   PDF (610KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current situation and influencing factors of alexithymia among fresh nursing students. Methods A convenience sampling was utilized to recruit 450 fresh nursing students from a vocational college in Sichuan from March 2022 to April 2022. A package of questionnaires was used including the general information questionnaire，the Toronto Alexithymia Scale，and the Distress Disclosure Index. Results The score of alexithymia of fresh nursing students was（54.30±7.90），and the incidence was 23.8%. Multiple regression analysis showed that family type，left-behind experience，family economic status，experience as a student cadre，and self-disclosure level were the main influence factors to alexithymia and can explain 45.5% of the total variance. Conclusion The alexithymia of vocational fresh nursing students is at a moderately high level，and is related with family type，left-behind experience，family economic status，experience as a student cadre and self-disclosure level. Relevant school departments and educators should enhance the screening of new students’ alexithymia，and take positive measures to improve the students’ mental health to prevent the occurrence of alexithymia.

Clinical Teaching

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The effect of near peer support education on undergraduate nursing interns’ resilience LIU Wei, LI Yuling, HAN Qinghua, LIN Yanli 2023, 20 (5):  559-563.  doi: 10.3761/j.issn.1672-9234.2023.05.009 Abstract ( 158 )   HTML ( 1 )   PDF (667KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effect of near peer support education in undergraduate nursing interns. Methods From July 2021 to May 2022，36 undergraduate nursing interns in a tertiary A-level hospital were selected as the research objects，and the near peer support education was implemented in stages，including four parts：clinical practical skill support，emotional support，occupational cognitive enhancement，and information support. The undergraduate nursing interns were investigated with the resilience scale before and after the intervention. Results After intervention，the total score of resilience（77.28±13.44） of 36 undergraduate nursing interns were higher than those before intervention（55.78±11.86），the difference was statistically significant（t=7.491，P<0.001）. Conclusion Near peer support education is helpful to improve the psychological resilience of undergraduate nursing interns，and can help them cope with clinical work with a positive and healthy attitude.

Health Education

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Design and application evaluation of flying chess for education in children with type 1 diabetes ZHENG Yan, CHEN Xiaochun, YUAN Ting 2023, 20 (5):  564-567.  doi: 10.3761/j.issn.1672-9234.2023.05.010 Abstract ( 170 )   HTML ( 0 )   PDF (1059KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design a flying chess game for education among children with diabetes and evaluate its clinical application effect. Methods Following the rules and templates of the conventional game of flying chess，changing the theme of the game to “Jelly bean Big Battle” to design the content of flying chess to complete the game. The content included basic knowledge of diabetes， five horse-drawn carriages of treatments， complications care，home care，matters for attention in school life. From June 2021 to June 2022， children with newly diagnosed type 1 diabetes admitted to the Department of Endocrinology of a hospital in Hangzhou were conveniently selected as participants and divided into control group and experimental group according to the time of admission，with 50 participants in each group. The control group was given the traditional form of health education，while the experimental group was given the traditional form of education plus educational flying chess for health education. The mastery of health education knowledge between the two groups was compared，and the satisfaction of the children and their parents to the use of educational flying chess was evaluated. Results The children in the experimental group had better knowledge of diabetes（88.72 ± 4.60） than the control group（77.64± 10.70）. The difference was statistically significant（t=6.724，P<0.001）. Children and their parents of experimental group held high satisfaction（94%） with the educational flying chess. Conclusion Children’s diabetes health education through flying chess combined with traditional form of education can improve the theoretical knowledge level of children with diabetes， which is a helpful tool for health education for children with diabetes.

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Development of evidence-based popular works of oral health management for older adults in the community LIANG Yiqing, XU Huiling, CAO Songmei, WANG Jingjing, FAN Yimeng, CAI Peixuan 2023, 20 (5):  568-574.  doi: 10.3761/j.issn.1672-9234.2023.05.011 Abstract ( 257 )   HTML ( 2 )   PDF (1034KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design and develop popular works of oral health management for older adults in the community to improve their oral health literacy. Methods Through summarizing the best evidence for oral health management of older adults in the community，the framework of popular works was identified. The popular works were designed and made by a multidisciplinary team after the evidence refinement and translation. Finally，through focus group interviews with five members who did not participate in the production of popular science works，the popular science works were reviewed. Results A total of 21 best evidences were summarized from five aspects. Through two rounds of experts meeting，the final popular works for community elderly were formed. The final video clips popular works have five themes and 16 refined themes，including the importance of oral health，risk factors of oral diseases，identification of dental caries and periodontal diseases，prevention and care，and use of oral cleaning tools. Conclusion The development method of popular works of oral health management for older adults in the community is scientific and standardized. Such works are user-friendly in design. This study provides a reference for the development of popular works in other fields.

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Discharge readiness and its influencing factors in patients with ischemic stroke and multimorbidity YU Pengpeng, WANG Yanmei, ZHU Rui, DU Xue, QI Jinghan 2023, 20 (5):  575-579.  doi: 10.3761/j.issn.1672-9234.2023.05.012 Abstract ( 177 )   HTML ( 1 )   PDF (779KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective The aim of this study is to investigate the status of discharge readiness of patients with ischemic stroke and multimorbidity. Methods We investigated 256 patients with ischemic stroke and multimorbidity who admitted to the Department of Neurology of a Grade 3A hospital in Shenyang between July 2020 and January 2021 with general information questionnaire，Readiness for Hospital Discharge Scale，and Quality of Discharge Teaching Scale. Results The total score of discharge readiness of patients with ischemic stroke and multimorbidity was 83.05±13.78. The numbers of comorbidity，the quality of discharge teaching，educational level and BMI，had strong significance on patients’ discharge readiness（adjusted R2=0.115，F=2.375，P<0.001）. Conclusion The patients with ischemic stroke and multimorbidity have low-level discharge readiness. Nursing staff should focus on patients with high number of comorbidity，low education level and obesity. Because of the low explanatory power of the influencing factors obtained from the results of this study，it is necessary to further explore the impact of more relevant variables on the level of discharge readiness of patients with ischemic stroke coexisting with multiple diseases in the future.

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Summary of the best evidence on discharge preparation service for patients with chronic obstructive pulmonary disease ZHANG Xiaona, YUAN Ping, LU Hongyan, ZHAO Jie, FENG Xiangkan, LI Xindan, YU Fang 2023, 20 (5):  580-588.  doi: 10.3761/j.issn.1672-9234.2023.05.013 Abstract ( 201 )   HTML ( 1 )   PDF (1073KB) ( 12 )   Save Figures and Tables | References | Related Articles | Metrics Objective To search，evaluate and summarize the best evidence of discharge preparation service for patients with COPD，and to provide reference for clinical nursing practice. Methods The literatures related to the discharge preparation service of COPD patients in relevant websites and domestic and foreign databases were systematically searched，including guidelines，expert consensus，evidence summaries，systematic reviews，best clinical practices，standards. Two researchers finished the quality evaluation of the relevant literatures，extracted and summarized the evidence according to the theme in combination with professional judgment. Results A total of 13 articles were included，including 6 guidelines，1 best practice，5 systematic reviews，1 evidence summaries. Thirty pieces of the best evidence on COPD patients’ discharge preparation services were formed from six aspects：screening and evaluation，planning，health guidance during hospitalization，preparation before discharge，discharge guidance，and post-discharge and evaluation follow-up. Conclusion This study summarizes the best evidence for the implementation of discharge preparation service for patients with COPD，which can provide evidence-based basis for medical staffs to formulate reasonable discharge preparation service plan，standardize clinical practice and ensure the safety of post-discharge transition.

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The reliability and validity of the Chinese version of the Nurse-patient Therapeutic Communication Scale ZHANG Shu, LI Hong, ZHOU Song, LIN Wenjie, ZHAO Jing, GAO Ju 2023, 20 (5):  589-593.  doi: 10.3761/j.issn.1672-9234.2023.05.014 Abstract ( 237 )   HTML ( 2 )   PDF (683KB) ( 19 )   Save Figures and Tables | References | Related Articles | Metrics Objective To translate the Nurse-patient Therapeutic Communication Scale into Chinese and examine the reliability and validity of the Chinese version of the scale. Methods Brislin translation model was used in literal translation and back translation. Delphi method and pilot survey were used for cultural adjustment and revision. From November to December 2021，562 clinical nurses were conveniently recuited from five grade Ⅲ，Grade A hospitals in Zhuhai and Shenzhen to investigate and evaluate the reliability and validity of the scale. Results The Chinese scale include 48 items. Findings from the exploratory factor analysis revealed three factors including nurse，situation character and patient，which explained 67.319% of the cumulative variance. Cronbach’s α coefficient for the overall scale was 0.846. The average content validity of the scale was 0.96. Conclusion The Chinese version of Nurse-patient Therapeutic Communication Scale is a scientific and practical instrument with good reliability and validity，which can evaluate the therapeutic communication ability of clinical nurses in China.

Clinical Practice

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Current status and influencing factors of social isolation in elderly diabetic patients WU Honglun, ZHONG Yingchang, WANG Haiyan, TAN Mei, YIN Xiaoying 2023, 20 (5):  594-598.  doi: 10.3761/j.issn.1672-9234.2023.05.015 Abstract ( 217 )   HTML ( 1 )   PDF (620KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the current status of social isolation in elderly diabetic patients and its influencing factors. Methods From September 2020 to October 2021，358 elderly diabetic patients admitted to the inpatient department of a tertiary third-grade A general hospital in Guangzhou were selected as the research objects using convenience sampling，and they were investigated using general information questionnaire，General Alienation Scale，General Self-Efficacy Scale and Family APGAR Index. Results The social isolation score of elderly diabetic patients was（41.27±6.60）. The results of multiple linear regression analysis showed that gender，place of residence，duration of diabetes，total score of self-efficacy，and total score of family care entered the regression equation，which could predict 48.6% of total variation. Conclusion The social isolation of elderly diabetic patients is at a moderately high level；medical staffs should pay attention to male patients，rural patients and patients with shorter duration of diabetes，and take measures to improve patients’ self-efficacy and family care，so as to reduce the level of social isolation of patients.

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Meta-synthesis of qualitative studies on the experience of cancer patients using mobile health tools WANG Bingyao, FU Guanglei, YANG Ying, XU Huaxiu, XIAO Chunye, TAN Jielin 2023, 20 (5):  599-606.  doi: 10.3761/j.issn.1672-9234.2023.05.016 Abstract ( 131 )   HTML ( 1 )   PDF (1118KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically evaluate and integrate the qualitative studies on the experience of cancer patients using mobile health tools in order to provide references for improving the mobile health tools technology. Methods To collect qualitative studies on the experience of cancer patients using mobile medical tools, we searched databases including Web of Science, PubMed, the Cochrane Library, Embase, Scopus, CNKI, SinoMed, Wanfang database, and CQVIP. The search period is from the establishment of the database to February 2022. Results A total of 13 studies were included. Thirty-three clear research results were extracted, which were summarized into ten new categories. Finally, four integrated results were obtained：the benefits of using mobile health tools for cancer patients, the challenges of using mobile health tools, influencing factors of using mobile health tools, and expectations and preferences for using mobile health tools. Conclusion Healthcare professionals should pay attention to and understand the experience of using mobile tools among cancer patients enhance technologies according to patients’ wishes and feedback, enrich functions, and further guide and standardize their use of mobile health tools.

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Meta-analysis of incidence and risk factors of radiation enteritis in patients with cervical cancer XU Zhenhua, LUO Huiyu, ZHANG Yunfei, LI Maolu, ZHAO Li, CAO Yongli 2023, 20 (5):  607-613.  doi: 10.3761/j.issn.1672-9234.2023.05.017 Abstract ( 198 )   HTML ( 1 )   PDF (915KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically review the incidence and risk factors of radiation enteritis in patients with cervical cancer undergoing radiotherapy, and to provide reference for clinical prevention and reduction of radiation enteritis. Methods We searched for retrospective studies and cohort studies on the occurrence of radiation enteritis in patients with cervical cancer from PubMed, Cochrane Library, CINAHL Complete, Web of Science, Embase, CNKI, Wanfang database, VIP, and CBM. The search period was from the establishment of the database to February 2022. Meta-analysis of the included literature was performed using Stata 16.0 and RevMan 5.3. Results A total of 13 publications were included, with a combined sample size of 3 940 cases and 1 554 patients who developed radiation enteritis. The results of meta-analysis of the incidence of radiation enteritis in cervical cancer showed a large heterogeneity among the included studies（I2=99%, P<0.001）, and the incidence of radiation enteritis in cervical cancer was 44% based on a random-effects model[95%CI（0.32, 0.56）, P<0.001]. The main influencing factors affecting the occurrence of radiation enteritis in cervical cancer were age（≥60 years） [OR=1.14, 95%CI（1.02, 1.27）], irradiated dose to parametrial tissue（>50 Gy）[OR=6.49, 95%CI（3.06, 13.79）], rectal V40（≥40%）[OR=5.78, 95%CI（2.33, 14.38）], combined hypertension[OR=6.78, 95%CI（3.94, 11.69）]. Conclusion Medical staffs should pay attention to the gastrointestinal symptoms of patients with cervical cancer who are≥60 years old and complicated with hypertension, and give preventive evaluation and nursing care to patients with high-dose radiotherapy （radiation dose of parauterine tissue>50 Gy, rectal V40≥40%）.

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Public risk perception and response behavior of the novel coronavirus pneumonia epidemic：a systematic review JIN Yanwei, SUN Hongyu, JI Yan 2023, 20 (5):  614-619.  doi: 10.3761/j.issn.1672-9234.2023.05.018 Abstract ( 137 )   HTML ( 0 )   PDF (686KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically evaluate the level of public perception of the risk of the novel coronavirus pneumonia epidemic and the response behavior toward various countries. Methods Data bases including PubMed, Cochrane, Embase, Web of Science, PsycARTICLES, Psychology and Behavioral Sciences Collec-tion, CINAHL, Chinese Medical Journals Full-Text Database, Wanfang, and CNKI were retrieved by computer, and the search time limit was set from the date of their establishment to March 2022. Meta analysis was performed using StataSE software after independent screening of the literature by two investigators, extraction of data and quality evaluation of the included literature. Results A total of 21 cross-sectional studies were included, including 42 855 participants. Meta-analysis results show that the proportion of the public held a high level of risk perception of the novel coronavirus epidemic in countries were 51.1%[95%CI（34.9%, 67.4%）], and the proportions of the public who correctly wore masks, maintained hand hygiene, kept social distance, and reduced travel were 53.2%[95%CI（44.0%, 62.5%）], 63.9%[95%CI（56.2%, 71.7%）], 48.5%[95%CI（32.9%, 64.1%）], and 54.3%[95%CI（42.8%, 65.8%）], respectively. Conclusion Half of the world’s public hold a high level of risk perception toward the novel coronavirus pneumonia epidemic, and more than half of the public can take correct response behavior.

Review

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Educational practices for nurses of trauma-informed care：a scoping review LI Yike, LU Hao, LI Siyu, MA Hongli, SHI Yanhua, JIAO Haixing 2023, 20 (5):  620-624.  doi: 10.3761/j.issn.1672-9234.2023.05.019 Abstract ( 233 )   HTML ( 0 )   PDF (590KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the training content，method，and effect of trauma-informed nursing. Methods Relevant literature on trauma-informed nursing training in databases were searched from 2000 to March 2023，including PubMed，Cochrane Library，CINAHL，Embase，Web of Science，and CNKI. The scope of the included literature were reviewed. Results A total of 8 193 papers were retrieved，and 10 English papers were included after screening. The training content of trauma-informed care mainly involved basic knowledge of trauma-informed care，theoretical knowledge related to trauma，basic points in implementation，communication skills，and trauma-informed care for special populations. Training methods included lectures，seminars，case discussions，role plays，and situational simulations. The included literature has confirmed the effectiveness of training. However，due to the limited time in training，its reliability needed further verification. Conclusion The content of trauma-informed care training is not yet comprehensive，and it is recommended to further enrichment based on the characteristics of the target patient population. In future researches，a large sample and periodic trauma-informed care training program should be conducted based on Chinese conditions.

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Advances in the application and practice of service-learning theory in the involvement of nursing students in community health promotion activities HUANG Liebin, WANG Xinan, ZHOU Hongting, ZHU Xuejiao 2023, 20 (5):  625-629.  doi: 10.3761/j.issn.1672-9234.2023.05.020 Abstract ( 171 )   HTML ( 1 )   PDF (623KB) ( 10 )   Save References | Related Articles | Metrics This paper introduces the origin and development of service-learning theory，and reviews the current situation and effects of service-learning theory in the practice of nursing students’ participation in community health promotion activities，aiming to provide reference for the practice of nursing students’ participation in community health promotion activities in China.

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Application of transformative learning in nursing school education：a scoping review ZHANG Guangyu, ZHANG Caihong, GUO Honghua 2023, 20 (5):  630-634.  doi: 10.3761/j.issn.1672-9234.2023.05.021 Abstract ( 191 )   HTML ( 0 )   PDF (590KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To comprehensively analyze the application of transformative learning in nursing education，aiming to provide reference for nursing educators to carry out transformative learning practice and research. Methods Based on Arksey and O’Malley’s scope review method，a total of 12 literature databases were searched，and the research from the establishment of the database to July 15，2022 was reviewed and analyzed and information was extracted. Results A total of 1 889 articles were retrieved，and 19 articles were finally included. In nursing school education，transformative learning theory was combined with other educational theories，learning models，and more with constructivism theory. The teaching methods are various，mainly based on reflection diary. The application of transformative learning in nursing school education has achieved positive results. However，there is no unified standard for teaching evaluation tools，which needs further study. Conclusion In the application of transformative learning in nursing school education，its feasible teaching methods and positive teaching effects have been preliminarily formed. In the future，nursing educators can construct an integrated teaching platform inside and outside the school，which is suitable for the transformative learning of nursing school，and unify the evaluation tools and evaluation systems of transformative learning teaching.

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Research progress of disease insight in patients with chronic diseases HUANG Wenzhen, WEI Wei, ZHANG Hongmei, ZHANG Lingling, WANG Jie, LÜ Yinghua, LI Li 2023, 20 (5):  635-640.  doi: 10.3761/j.issn.1672-9234.2023.05.022 Abstract ( 193 )   HTML ( 0 )   PDF (717KB) ( 8 )   Save References | Related Articles | Metrics In this paper，the concept of disease insight in chronic diseases，related assessment tools，influencing factors，application status，methods to improve the insight of patients with chronic diseases，etc. were reviewed，aiming to improve the disease awareness of patients with chronic diseases，enhance their perception of chronic diseases，and optimize nursing interventions for them.