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25 April 2021, Volume 28 Issue 8
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Journal of Nursing. 2021, 28(8): 1-7. https://doi.org/10.16460/j.issn1008-9969.2021.08.001Objective To systematically summarize the literature on post-traumatic growth (PTG) of stroke patients in China and abroad and its related factors. Methods Based on the Cochrane Collaborative Network Work Manual, we searched the literature on PTG of stroke patients in databases including the Cochrane Library, the JBI database, Web of Science, PubMed, EMbase, CINAHL, CNKI, WanFang Data, VIP, SinoMed, and Baidu Scholar from the inception to December 31, 2020. Two researchers independently screened and extracted the data. The Agency for Health Care Research and Quality (AHRQ) was used to assess the paper quality. After quality assessment, we systematically summarize the related studies. Results Twenty-one studies were finally included. According to the functional description model of post-traumatic growth and our previous research, the related factors could be grouped into internal and external individual factors. Conclusion The existing results indicate that the overall level of PTG in stroke patients is moderate. Further theoretical and longitudinal studies are needed to provide high-quality evidence and medical staff can use the evidence to develop effective strategies for PTG.
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Journal of Nursing. 2021, 28(8): 17-22. https://doi.org/10.16460/j.issn1008-9969.2021.08.017Objective To systematically evaluate the maintenance of the effect of TeamSTEPPS training in medical staff based on Kirkpatrick model. Methods The literature on the maintenance of the effect of TeamSTEPPS training in medical staff in both Chinese and English databases was searched by computer. Two researchers independently screened and extracted the data. Results Nine pre-post studies were included. The results showed that participants were satisfied with TeamSTEPPS training, the majority of which could maintain good communication and teamwork skills and form stable patient safety culture. However, there were disparities in excellent patient safety outcomes after TeamSTEPPS training, such as punctuality percentage of the operation, average room turnover time, mortality and the number of patients with complications. Conclusion TeamSTEPPS training is beneficial for medical staff to maintain good communication and teamwork skills, but more studies are necessary for the maintenance of Objective effect of TeamSTEPPS training.
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Journal of Nursing. 2021, 28(8): 23-27. https://doi.org/10.16460/j.issn1008-9969.2021.08.023Objective To clarify the risk factors of surgical incision infection in patients with colorectal cancer through meta-analysis, and to provide reference for preventive measures. Methods Case-control studies and cohort studies on risk factors of surgical incision infection in patients with colorectal cancer were searched in databases including CNKI, China Biomedical Literature Database, Wanfang Database, Weipu Database, The Cochrane Library, PubMed, Embase, and Web of Science. Two researchers screened the literature according to the inclusion and exclusion criteria, and evaluated the quality of the included literature by Newcastle-Ottawa Scale(NOS). RevMan5.3 was used to perform statistical analysis. Results Seventeen articles were finally included, with a total of 16,992 cases of colon cancer, and 8 risk factors. Meta-analysis showed that diabetes (OR=1.65, 95%CI: 1.48~1.84), operation time (OR=1.41, 95%CI: 1.22~1.63), BMI (OR=1.35, 95%CI: 1.18~1.55), open surgery (OR=1.60, 95%CI: 1.23~2.07), surgical method (OR=1.69, 95%CI: 1.38~2.08), tumor stage (OR=1.42, 95%CI: 1.28~1.58) , and age (OR=1.28, 95%CI: 1.12~1.47) were risk factors for surgical incision infection in patients with colorectal cancer. Sensitivity analysis and publication bias results show that the combined results of all factors were relatively stable, and no obvious publication bias was found. Conclusion Effective management for basic disease, operation time, weight, open surgery, operation method, tumor stage and age can effectively reduce the incidence of surgical incision infection.
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Journal of Nursing. 2021, 28(8): 33-38. https://doi.org/10.16460/j.issn1008-9969.2021.08.033
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Journal of Nursing. 2021, 28(8): 44-49. https://doi.org/10.16460/j.issn1008-9969.2021.08.044
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Journal of Nursing. 2021, 28(8): 50-55. https://doi.org/10.16460/j.issn1008-9969.2021.08.050
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Journal of Nursing. 2021, 28(8): 56-58. https://doi.org/10.16460/j.issn1008-9969.2021.08.056
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Journal of Nursing. 2021, 28(8): 59-61. https://doi.org/10.16460/j.issn1008-9969.2021.08.059
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Journal of Nursing. 2021, 28(8): 72-76. https://doi.org/10.16460/j.issn1008-9969.2021.08.072Objective To investigate the correlation among physical anhedonia, social anhedonia, self-compassion and post-traumatic stress disorder in elderly patients with stroke. Methods Totally 185 elderly stroke patients admitted to our hospital were surveyed for information of physical anhedonia, social anhedonia, self-compassion and post-traumatic stress disorder. Pearson correlation analysis was used to analyze their correlation and structural equation model to analyze the mediating effect of physical and social anhedonia on self-compassion and post-traumatic stress disorder. Results The score of physical anhedonia, social anhedonia, self-compassion and post-traumatic stress disorder was 44.29±3.24, 28.57±3.13, 84.29±6.45 and 60.74±6.23 respectively in elderly stroke patients. Physical and social anhedonia were negatively correlated with self-compassion(r=-0.452,-0.415, P<0.01) but positively with post-traumatic stress disorder (r=0.411,0.382, P<0.01). Self-compassion was negatively correlated with post-traumatic stress disorder (r=-0.415, P<0.01). Physical and social anhedonia had a mediating effect on self-compassion and post-traumatic stress disorder (P<0.05), with mediating effect of -0.082 and -0.069 respectively, accounting for 13.89% and 11.69% of the total effects. Conclusion Self-compassion in elderly stroke patients is in general level. The higher the level of self-compassion in elderly stroke patients, the lower the post-traumatic stress disorder. Physical anhedonia and anhedonia have a mediating effect on self-compassion and post-traumatic stress disorder.
