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国际护理科学（英文）

国际护理科学（英文）

International Journal of Nursing Sciences
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国际护理科学（英文） >2017年第4期

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  • 摘要：Seclusion was widely used in mental health service,which had caused various negative effects on patients and nurses.In China,the clinical use of seclusion was gradually increasing,which had led to ethical dilemma and had gained public concern.This article aimed to synthesize the ethical issue according to the principle of autonomy,justice,beneficence,and non-maleficence.Given that nursing workforce was limited and work burden among psychiatric nurses was heavy,seclusion was one of coercive interventions managing aggressive behavior.In relation to cope with ethical dilemma,it was proposed to improve therapeutic environment,and to apply de-escalation technique.Additionally,reducing clinical use and adverse effects of seclusion was also important,this goal would be achieved by building appropriate patient-nurse relationship,increasing staff engagement,and promoting guideline of seclusion.
  • 摘要：Burnout is a global concern for nurses with broad implications for the health of staff and patients.Efforts to foster resilience that have been successful in other disciplines have yet to be applied in nursing.As employers have become more responsible for the wellbeing of their employees,leveraging these successes in other disciplines could be a straightforward way to improve the wellbeing of the nursing workforce through reducing burnout.Specifically using a paid pre-shift 15 minute program grounded in mindfulness may decrease burnout through improving resilience.
  • 摘要：Objectives:To understand the differences in social isolation among older adults and to identify risks associated with social isolation.Methods:Totally 485 participants aged 60 and older were recruited for this study.The Lubben Social Network Scale-6 and the Chinese version of the Medical Outcomes Study Social Support Survey were used to measure social isolation and the different types of social support that the participants experienced.Results:The proportions of young elderly(60-74 years of age)and old elderly(greater than 74 years of age)that experienced social isolation in this study were 24.4%and 33.1%,respectively.For the young elderly,three types of social support were observed to be protective factors to help avoid social isolation,and the positive effect of social support obtained from friends and neighbors was slightly stronger than that of family members.Old elderly with only a senior high school education background were at high risk of being socially isolated.Only support from friends was observed to be a protective factor for the old elderly.Conclusions:The study indicated that different ages of older adults experienced different aspects of social relationships.We propose that nursing interventions for the elderly should focus on individualized social support as a protective factor to help older adults avoid being socially isolated.
  • 摘要：Objectives:To explore the relationship between Vitamin D levels and pain and disease activity in patients with newly diagnosed axial spondyloarthritis(axSpA).Methods:A convenience sample of 131 newly diagnosed axSpA patients and 60 healthy controls was recruited from July 2016 to December 2018.Serum 25-hydroxyvitamin D[25(OH)D]was measured to assess vitamin D levels.Disease activity was assessed by objective indicators[Erythrocyte sedimentation rate(ESR),C-reactive protein(CRP),the Bath Ankylosing Spondylitis Metrology Index(BASMI)],patientreported questionnaires[the Bath Ankylosing Spondylitis Disease Activity Index(BASDAI),and the Bath Ankylosing Spondylitis Functional Index(BASFI)].Pain intensity and interference were also assessed.Results:Vitamin D insufficiency[serum 25(OH)D levels<50 nmol/L]was found in 46(35.1%)and 25(43.3%)of the axSpA patients and the healthy controls,respectively.Female patients had higher risk(0R:4.928;95%CI:1.921-12.642)for vitamin D insufficiency than male patients.Vitamin D was positively correlated with CRP,ESR level,the BASFI,and the BASMI.Logistic regression showed that vitamin D levels were not associated with pain,or disease activity in the newly diagnosed axSpA patients.Gender was the only predictive variable for vitamin D levels.Conclusions:Vitamin D insufficiency was prevalent in both newly diagnosed axSpA patients and healthy controls.There was no association between vitamin D and pain and disease activity in the newly diagnosed axSpA patients.Monitoring vitamin D levels is important and early intervention for vitamin D insufficiency is needed,especially in female patients.
  • 摘要：Purpose:Patients undergoing maintenance hemodialysis(MHD)have a higher prevalence of cognitive impairment and inferior cognitive performance than the general population,and those with cognitive impairment are at higher risk of death than those without cognitive impairment.Having diabetes has been associated with an increased risk of cognitive decline in end-stage kidney disease patients treated with peritoneal dialysis or kidney transplant.However,these findings may not extend to the hemodialysis population.Thus,we aim to investigate the relationship between having diabetes and cognitive function in MHD patients.Methods:This was a cross-sectional study.A total of 203 patients treated with MHD from two blood purification centers were enrolled as subjects.The Chinese version of the Montreal Cognitive Assessment(MoCA)was utilized to assess cognitive function.Results:MHD patients with diabetes had a significantly higher prevalence of global cognitive impairment and inferior performance in global cognition,visuospatial/executive function,naming,language,abstraction and orientation tasks compared with those without diabetes.According to the multiple linear analyses,having diabetes was significantly associated with lower global cognitive function,naming,and language scores,withβcoefficients and 95%CIs of-1.30[-2.59,-0.01],-0.25[-0.47,-0.02],and-0.32[-0.58,-0.07],respectively(all P<0.05).Having diabetes could not independently predict an increased risk of global cognitive impairment.Conclusions:In MHD patients,having diabetes is significantly associated with lower cognitive function scores.Medical staff should evaluate early and focus on the decline of cognitive function in MHD patients with diabetes,in order to achieve early diagnosis and earlv intervention.
  • 摘要：Objectives:To explore the knowledge,attitude and practice of Chinese nurses regarding nursing interruptions and related factors.Methods:A total of 6,400 nurses from 31 hospitals in China were investigated by using the Knowledge,Attitude and Practice(KAP)Questionnaire of Nursing Interruptions.The questionnaire consists of three dimensions,knowledge,attitude and practice,containing 10,9 and 7 items,with full score of 50,45 and 28,respectively.Results:The mean overall KAP score regarding nursing interruptions of Chinese nurses was 74.05±16.65(range:26-123),with scores for the knowledge,attitude,and practice component being 21.74±9.80,34.83±6.98,and 17.49±4.97,respectively.Among the nurses,70.8%of them experienced an average level of KAP toward nursing interruptions while 15.5%were at a poor level.The knowledge,attitude,and practice of nursing interruptions were better in chief nurses,managers,nurses with a master degree or above,nurses ever received training,and nurses with a strong agreement to leadership compared to nurses in other groups(P<0.05).In addition,employment type,professional title,position,standardized training and leaders'attention were predictors of KAP in nurses.Conclusion:Chinese nurses have a moderate level of KAP regarding nursing interruptions.Leaders'attention,standardized training,position,professional title and employment type could predict nurses'KAP state of nursing interruptions.Thus,a targeted training program should be implemented for clinical nurses by nursing leaders,with a particular focus on feasibility and professionalism.
  • 摘要：Objectives:This study was conducted to examine the differences between perceptions and practices of family-centered care among Thai pediatric nurses.Methods:This mixed-methods study consisted of two phases,in the first phase,a descriptive comparative design using the Family-Centered Care Questionnaire-Revised(FCCQ-R)was administered to 142 pediatric nurses from a university hospital in Bangkok,Thailand.in the second phase,qualitative interviews were conducted with 16 pediatric nurses to gather complementary information regarding the major findings from the first phase.Results:The results revealed that family strengths and individuality were rated the highest as the most important elements and the most frequent practices.Parent/professional collaboration was perceived as the least important element,while the design of the heath care delivery system was rated as the least frequent practice.The qualitative data revealed that the major reasons for suboptimal implementation included a common perception that family-centered care is a Western concept,nurses'weak attitudes towards their roles,and a shortage of nurses.Conclusions:Nurses agreed that the identified elements of family-centered care were necessary but that they did not incorporate the concepts into their daily nursing practice to maintain their endorsement of the family-centered care model.Further study is needed to explore how family-centered care is understood and operationalized by Thai nurses and how hospital administration and environments can be modified to support this care model.
  • 摘要：Objectives:To investigate the experience of newly graduated registered nurses(NGRNs)in Singapore following their initial 6-12 months of transition from nursing student to registered nurse.Methods:This mixed-methods study consisted of two phases.In the first phase,data were collected via the administration of the online survey to 30 NGRNs.The questionnaire contained 42 items of the fourpoint Likert scale survey.In the second phase,a focus group interview was conducted with 5 NGRNs to gather complementary information regarding the major findings from the first phase.Results:The survey revealed despite most NGRNs(80%)in this study expressed overall satisfied with their transition,the item score was(2.97±0.61)out of 4,the majority(83.3%)also perceived their transition to professional practice being stressful,the item score was(3.07±0.74)out of 4.Three themes emerged from the interview,'personal transition experience','professional transition experience',and'organizational transition experience',which are entwined to construct overall NGRNs'transition experiences.Conclusions:This study reaffirms the theory-practice gap phenomenon.This signifies the need for closer collaboration between educational,healthcare industry and regulatory stakeholders to examine and address factors that influence their transition experience to better support them for workforce readiness.
  • 摘要：Objective:There is vast literature on transformative learning,which is an important aspect of nursing education,but its meaning remains unclear.It is therefore important to clarify the meaning of transformative learning,identify its attributes,antecedents and consequences to increase its use in nursing education,practice and research.Methods:Walker and Avant's method was used,and the process provided a structured way to analyse the concept of'transfonnative leaming'.Nursing education dictionaries,encyclopaedias,conference papers,research articles,dissertations,theses,journal articles,thesauri and relevant books through the database library and intemet searches were reviewed.One hundred and two literature sources were reviewed,and data saturation was reached.Results:The results of the concept analysis of transformative learning within the context of nursing education identified three categories,namely,1)Antecedents as cognitive and affective perspective,democratic education principles and inspiration;2)Process through three phases,namely i)awareness through self-reflection,ii)the meaningful interactive,integrative and democratic construction process,and iii)metacognitive reasoning abilities;and 3)Outcomes.A theoretical definition of transformative learning was formulated.Theoretical validity was ensured.Conclusion:The results of the concept analysis of transformative learning were used to describe a model to facilitate transformative learning within the context of nursing education.
  • 摘要：Objective:English for Specific Purpose(ESP)is the essence for developing scientific research capacity,which is a core component for postgraduate education.The objective of this article is to develop a curriculum model for ESP of Master's level nursing education in a Chinese medicine university.Method:A three-year action research approach with continuous reflection and modification was used to develop an ESP curriculum based on the RICH model.A total of 78 students of Master's Science in Nursing enrolled in 2016-2018 and three course teachers in Nanjing University of Chinese Medicine participated in the study.The ESP curriculum based on the RICH model involved research-based learning topics(R),integrated curriculum(Ⅰ),cooperative learning methods(C),and humanistic outcome(H).Results:The passing rate of the students was 100%,the excellent rate was 79.5%,with an average score of 83.16±3.43.All students were satisfied with the ESP course design and acknowledged the process of"growing up under the pressure".Four students have published five articles in the journals included by Science Citation Index(SCI).Conclusions:The study exerted a positive effect on the ESP teaching and learning and provided new ideas for the ESP curriculum integration of Master's Science in Nursing in China.
  • 摘要：Objectives:To examine the current studies about the impacts of faculty caring on nursing students'intent to graduate and provide recommendations.The nursing profession continues to face nursing shortages.One of the solutions recognized to alleviate the shortage is increasing the number of students graduating from nursing schools.It lacks a literature review synthesizing the current research about the impacts of faculty caring on nursing students'intent to graduate and indicate areas for future research.Methods:This is a systematic literature review.The search of the literature was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses(PRISMA).Databases searched included MEDUNE via PubMed,CINAHL,PsyclNFO,and ProQuest Search.Search terms included'attrition,''dropouts,''graduation rate,''faculty,''instructor,''professor,''nursing,'and'caring.'Results:Ten articles met the inclusion criteria.The articles were conducted in the Associate Degree of Nursing and the Bachelor of Science in Nursing programs.Nursing faculties played a significant role in students'intent to graduate by building students'confidence,creating a compassionate learning environment,and promoting students'competence.Faculties'caring behaviors,including respecting students,showing empathy,and using caring communication skills,were essential characteristics to affect students'learning environments.Conclusions:The findings indicate that students'perceptions of faculty caring can affect their perceptions of the learning environment and sense of belonging,and therefore,impact their intent to graduate.Students'perceptions of their instructors'caring behaviors are instrumental in motivating them to continue learning.The capacity of faculty caring plays a significant role in students'success.
  • 摘要：Psychiatric health records are highly sensitive data which requires special policy to maintain its privacy,without affecting data accessibility.The current authors reviewed social,ethical and legal underpinnings for psychiatric electronic health records(EHR),and suggests a policy to maintain privacy and confidentiality of the psychiatric data,without affecting data accessibility.The purpose of this policy brief is to discuss and provide alternatives regarding psychiatric electronic health records privacy and information access.The current policy applied in Jordan still immature to ensure high levels of reliability,as the psychiatric data is openly accessed to the non-specialized personnel.Sensitive personal data policy is recommended in this paper with developing overriding mechanisms to counteract obstacles to data accessibility.
  • 摘要：International Journal of Nursing Sciences(IJNSS,Print ISSN 2096-6296,and Online ISSN 2352-0132,CN10-1444/R)is the official peer-reviewed research journal of the Chinese Nursing,Association.The IJNSS publishes Original research papers,reviews,discussion papers,editorial and letters to the editor.
  • 摘要：Since the outbreak of coronavirus disease 2019(COVID-19),the vast number of nurses have gone all out to fighting against the epidemic under the leadership of the Party Central Committee with the core of General Secretary Xi Jinping,and they have attracted wide attention from the public.2020-the International Year of the Nurse and the Midwife-is a crucial year for Nursing,which marks the 200th anniversary of Florence Nightingale's birth,the founder of modern nursing.The theme for International Nurses Day in 2020 is Nurses:A Voice to Lead-Nursing the World to Health.In the special period of responding to the epidemic,how do Chinese nurses practice this theme?How to quickly mobilize nurses from different hospitals across the country to combat with the virus?How to take care of patients with nursing professional knowledge and expertise?For the answers,the Chinese Nursing Journals Publishing House(CNJPH)interviewed Professor Xinjuan Wu,President of the Chinese Nursing Association(CNA),Editor-in-Chief of Chinese Journal of Nursing,Director of the Nursing Department of Peking Union Medical College Hospital,who was awarded the Florence Nightingale Medal in 2011.
  • 摘要：Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline medical working experiences,and it was eventually confirmed by five rounds of online discussions and expert consultations.Results:This consensus included nursing assessment,nursing priorities,nursing goals,and thirteen key points of nursing procedures such as oxygen therapy and respiratory nursing,etc.Conclusion:This scientific and practical consensus guideline can provide clinical guidance on the holistic nursing care of patients with severe COVID-19.
  • 摘要：Objective:To introduce the emergency management of nursing human resources and supplies of a large general hospital when facing the outbreak of coronavirus disease 2019(COVID-19).Method:The Nursing Department of the hospital fully executed its functional authority to establish a three-level echelon of sustainable support,allocate human recourses dynamically,organize pre-service training,supervise the key working steps,formulate positive incentive methods,and deploy medical supplies scientifically.Result:By taking these strategies,the hospital effectively improved the coping capacity of the nursing team and played a positive role in the prevention and treatment of COVID-19.Conclusion:The emergency management of nursing human resources and material resources for COVID-19 of the hospital is successful.But several deficiencies were identified as well,which indicated that the hospital needs to establish an efficient emergency management system,and pay attention to the practice of nursing emergency plans to enhance coping capacities in public health emergencies.
  • 摘要：Objectives:This article aims to summarize a series of contingency management strategies of the Nursing Department in the centralized treatment of patients with coronavirus disease 2019(COVID-19).Methods:The strategies of the Nursing Department included an early warning for prevention and control,taking functions of vertically commanding and horizontally coordinating,and reasonably allocating nursing workforce,to facilitate centralized treatment work in the in-hospital fever clinic,isolation wards and ICU,and referral and admission of critical patients.Five special groups were established in charge of training and examination,management and supervision,psychological support,logistical support,and reporting and publicity,respectively.Results:It was achieved that no deaths from critical patients and no medical staff,no other patients were infected.Conclusion:Through the implementation of these strategies,safe and efficient centralized treatment was ensured timely,orderly and sustainably.
  • 摘要：Objective:This article summarizes the experience in the prevention and control of coronavirus disease 2019(COVID-19)epidemic in non-isolated areas in a general hospital.Methods:Based on refined management theory,we professionally developed the standards for prevention and control of COVID-19 in non-isolated areas,systematically implemented various prevention and control measures,performed gridding audits,effectively communicated among teams and between medical staff and patients assisted by information techniques,and reported results for quality improvement.Results:There was no hospital-acquired COVID-19 infections among staff in the hospital.The rates of mask-wearing,epidemiological history screening,and the medical supplies disinfection were all 100%in the hospital.The accuracy rate of mask-wearing of patients and their families was 73.79%and the compliance rate of their hand hygiene was 40.78%.Conclusion:Refined management strategies for the prevention and control of COVID-19 infection in non-isolated areas of the general hospital are effective.The accuracy rate of mask-wearing and hand hygiene compliance of patients and their families need to be further improved.
  • 摘要：Objective:This study aimed to evaluate the effect of optimization of the intravenous infusion workflow in isolation wards for patients with coronavirus disease 2019.Methods:The infusion management group optimized the intravenous infusion workflow based on Hamer's Process Reengineering Theory and applied it to the treatment of patients with coronavirus disease 2019.The work efficiency,patients'satisfaction and economic indicators before and after optimization were compared.Results:After the infusion workflow was optimized,average times for preparation drugs and intravenous admixture,and patients'waiting time decreased from 4.84 min,4.03 min,and 34.33 min to 3.50 min,2.60 min,and 30.87 min,respectively,patients'satisfaction increased from 66.7%to 93.3%,and the cost of personal protective equipment(PPE)decreased from 46.67 sets and 186.6 CNY per day to 36.17 sets and 144.6 CNY,with statistical significance.Conclusion:The optimization of the intravenous infusion workflow can effectively decrease the cost of PPE while improving the efficiency of infusion and patients'satisfaction.
  • 摘要：This article introduces safety management strategies of nasopharyngeal specimen collection from suspected cases of coronavirus disease 2019 in a tertiary designated hospital.The key points include establishing a special sampling room,strict sterilization of the entire environment,training of professional nurses,enhancement of personal protection,standardization of methods and processes for swab collection,and a timely and safety sample submission.More than 11,000 nasopharyngeal specimens were collected by eight nurses,with an average of 1,375 specimen swab collections each nurse,and no one was infected.
  • 摘要：Objective:This study aimed to explore the psychological needs of nurses caring for patients with coronavirus disease 2019(COVID-19)and to propose corresponding interventions.Methods:In-depth interviews were conducted with 10 nurses who cared for patients with COVID-19.Interview data were analyzed by category analysis from the perspective of the existence,relatedness,and growth theory(ERG).Results:The existence needs were mainly reflected in health and security needs,whereas the relatedness needs consisting mainly of interpersonal needs,humanistic concern needs,and family needs;further,the growth needs were mainly reflected as a strong need for knowledge.Existence needs were the main needs during the epidemic,with health and security needs influencing each other.Humanistic concern needs were the most important of the relatedness needs;interpersonal and family needs were also growing.Conclusion:It is found that the existence,relatedness,and growth needs coexist in clinical nurses.It is helpful to take effective interventions to meet their needs if the needs of nurses caring for COVID-19 patients could be perceived well.
  • 摘要：Objectives:Although effective antiretroviral therapy(ART)has been used for more than two decades,HIV-associated neurocognitive disorder remains prevalent.Thus,whether ART can improve neurocognitive impairment is controversial.This review aims to explore the effects of ART on cognitive impairment in people living with HIV(PLWH).Methods:A systematic literature search was conducted in eight databases(PubMed,Embase,Web of Science,Cochrane Library,CNKI,VIP,China Biology Medicine disc,and WanFang)to identify studies that compare cognitive function between study groups who are administered and not administered ART.We searched for articles published up to April 2019.Article evaluation and data extraction were independently conducted by two reviewers.Results:Sixteen articles(6,694 participants)-14 cross-sectional studies and 2 cohort studies—were included in this meta-analysis.The cross-sectional studies demonstrated that ART group did not perform better than the non-ART group(OR=1.16;95%CI,1.03-1.30).However,the cohort studies reported a significant improvement in cognitive function at three months(OR=4.01;95%CI,2.35-6.85)and six months(OR=9.24;95%CI,1.71-49.96)after ART initiation compared with the baseline data.No significant cognitive improvement was found in participants younger than 55 years old,but the two crosssectional studies showed that ART may improve cognitive function in PLWH under 65 years old with poor physical condition and immune status.Conclusions:ART could improve cognitive function in PLWH with poor physical condition and immune status,but it does not considerably improve cognition in the entire PLWH population.
  • 摘要：Objective:To evaluate evidence from published systematic reviews about the effectiveness of exercise interventions on fatigue management in breast cancer patients.Methods:PubMed,Web of Science,the Cochrane Library,the Cumulative Index of Nursing and Allied Health(CINAHL),Embase databases,the China National Knowledge Infrastructure(CNKI),the Wanfang database,the China Biomedical Literature Database(CBM),and the VIP database were searched to identify relevant systematic reviews.The reviews which assessed exercise interventions on cancer-related fatigue(CRF)in breast cancer patients were included.Quality of evidence was evaluated by the Grade of Recommendation,Assessment,Development,and Evaluation(GRADE)tool.The Assessment of Multiple Systematic Reviews(AMSTAR)appraisal tool was used to evaluate the methodological quality of included systematic reviews.Results:Twenty-four systematic reviews met all the inclusion criteria.The overall mean score for AMSATR is 7.38 and ranged from 4 to 10 points.In addition,21 reviews arrived at positive conclusions,which exercises could reduce CRF,and 3 obtained that exercise does not affect fatigue.As for GRADE,8 of the reviews were graded as'moderate',2 of the studies were'very low',and the others were'low'.Conclusions:Aerobic and resistance exercise can be regarded as beneficial to CRF in breast cancer patients,and limited evidence exists that yoga had an effect on reducing fatigue.The quality of the current systematic review is still far from satisfactory.
  • 摘要：Objectives:To investigate the magnitude of effect nurse staffing had on decreasing the newborn mortality rates in member countries of Organisation for Economic Co-operation and Development(OECD).Methods:The statistical technique of panel data analysis was applied to explore the possibility of association between the number of nurses'density per 1,000 population and infant,neonatal and perinatal mortality rates(IMR,NMR and PMR)per 1000 births.The observations of 35 OECD countries were collected over the period of 2000 through 2016.Results:There were significant associations between nurse staffing and IMR,NMR and PMR i.e.a 1%increase in nurse-staffing level reduced IMR,NMR and PMR by 0.98%,0.97%and 0.96%,respectively.Furthermore,the role of nursing-related services in declining the average of newborn mortality rates were investigated at the highest level in Slovenia(-5.50),Sweden(-3.34),Iceland(-2.51),Czech Republic(-1.86),Japan(-1.64)and Finland(-1.64).Moreover,if the current relationship between nursestaffing level and newborn mortality rates are disturbed with nursing shortage(e.g.in Slovak Republic and Israel),then it takes about 17 years for the mortality rates to reduce and restore back to the previous equilibrium.Conclusions:A higher proportion of nurses'density per 1,000 population is associated with lower newborn mortality rates.In addition,the nursing-related services of Slovenia,Sweden,Iceland,Czech Republic,Japan and Finland with the highest impact on improving the health level of newborns would be good patterns for other developed countries in maternity and child health care.
  • 摘要：Objective:To investigate the effects of mirror neuron theory-based visual feedback therapy(VFT)on restoration of upper limb function of stroke patients and motor-related cortical function using functional magnetic resonance imaging(fMRI).Methods:Hemiplegic stroke patients were randomly divided into two groups:a VFT group and a control(CTL)group.Sixteen patients in the VFT group received conventional rehabilitation(CR)and VFT for 8 weeks,while 15 patients in the CTL group received only CR.The Barthel Index(BI)was used to assess the activities of daily living at baseline and the 8th week of the recovery training period.The Fugl-Meyer assessment(FMA)scale,somatosensory evoked potential(SEP),and fMRI were used to evaluate the recovery effect of the training therapies.The latencies and amplitudes of N9 and N20 were measured.Before recovery training,fMRI was performed for all patients in the VFT and CTL groups.In addition,17 patients(9 in the VFT group and 8 in the CTL group)underwent fMRI for follow-up 2 months after treatment.Qualitative data were analyzed using the x2 test.The independent sample t-test was used to compare normally distributed data among different groups,the paired sample t-test was used to compare data between groups,and the non-parametric test was used to comparing data without normal distribution among groups.Results:There were no significant differences between the VFT and CTL group in all indexes.However,after 8 weeks of recovery training,these indexes were all significantly improved(P<0.05).As compared with the CTL group,the FMA scores,BI,and N9/N20 latencies and amplitudes of SEP in the VFT group were significantly improved(P<0.05).Two months after recovery training,fMRI showed that the degree of activation of the bilateral central anterior gyrus.parietal lobe,and auxiliary motor areas was significantly higher in the VFT group than the CTL group(P<0.05).Conclusions:VFT based on mirror neuron theory is an effective approach to improve upper extremity motor function and daily activity performance of stroke patients.The therapeutic mechanism promotes motor relearning by activating the mirror neuron system and motor cortex.SEP amplitudes increased only for patients who participated in visual feedback.VFT promotes sensory-motor plasticity and behavioral changes in both the motor and sensory domains.
  • 摘要：Purpose:Wearable devices are commonly used to measure physical activity.However,it remains unclear the effect of wearing these devices on health awareness.Our aim was to provide evidence related to wearing physical activity trackers and health awareness.Methods:A quantitative comparison study design was used comparing participants who wore physical activity tracking devices(n=108)and those who did not(n=112).A paper-based Physical Health Knowledge survey designed for the purpose of this research was used for data collection in 2018.Results:A difference between participants who wore physical activity tracking devices and those that did not was identified in relation to activity levels and physical health awareness.Wearable devices are suggested as an opportunity for nurses to engage people in physical activity with the potential to improve their health awareness.Conclusions:Nurses are well placed in the healthcare landscape to work with patients who own an activity tracker device concerning increasing activity self-monitoring.This information the patient has from the device can also form the basis of health discussions between nurses and the people in their care.
  • 摘要：Objectives:This study aimed to describe cardiovascular risk and cardiovascular disease(CVD)knowledge among older adults,and further explore the association between knowledge and risk.Methods:In this cross-sectional study,we enrolled 1120 older adults who received physical examination in health centers.The participants were interviewed to obtain their behavioral risk factors related to CVD and clinical characteristics.A risk prediction chart was used to predict participants'cardiovascular risk based on clinical characteristics and behavioral risk factors.Participants'CVD knowledge was collected with a pretested knowledge questionnaire.Results:Among the 1120 participants,240(21.4%)had low cardiovascular risk,353(31.5%)had moderate cardiovascular risk,527(47%)had high and very high cardiovascular risk.The knowledge level about CVD among 0.8%of the 1120 participants was good while that of 56.9%was poor.Lower CVD knowledge level,older age,lower income,and lower educational level were the independent factors of higher cardiovascular risk level.Conclusions:This study highlights the need to reduce the cardiovascular risk among older adults.CVD knowledge should be considered when developing health interventions.
  • 摘要：Aim:As conflict caused by cultural diversity among patients in China continues to rise,hospitals are in urgent need for improvement of transcultural efficacy among nurses.This study aims to evaluate the transcultural self-efficacy of nurses working in the tertiary general hospital in Guizhou Province,an ethnic minority region in western China,and to identify whether nurses'demographic characteristics affect their transcultural self-efficacy.Method:We used the Chinese version of the Transcultural Self-Efficacy Tool(TSET-CV)to survey 1,190 inservice nurses.Results:Results showed that the level of transcultural self-efficacy of the nurses was generally moderate;few of the nurses had high or low transcultural self-efficacy.The nurses'transcultural self-efficacy was affected by demographic variables,including age,marital status,employment type,income,work experience,and whether or not they were head nurses.Having a stable work environment,a stable marriage,a good educational background,and a high-ranked professional title were associated with increased transcultural self-efficacy.Conclusion:Nursing administrators in hospitals should offer continuing education on transcuitural nursing according to nurses'demographic characteristics and the SEST scores.
  • 摘要：Objective:It is aimed to investigate the nursing competence and corresponding influence factors of dementia caregivers in long-term care institutions of Tianjin and identify the training needs of caregivers.Methods:In the cross-section survey of this study,246 dementia caregivers were selected from 6 long-term care institutions in Tianjin as objects of study through convenient sampling.Results:The scores for nursing competence of dementia caregivers were 140.28±7.73,at a moderate level.Study findings that nursing competence of dementia caregivers were positively associated with the work experience(β=0.115,P=0.005),educational level(β=0.333,P<0.01),pervdceived health status(β=0.108,P=0.003)and training times within 1 year(β=0.371,P<0.01).Through the analysis,it is found that the training needs of dementia caregivers are inconsistent with the current situation in terms of content,methods and teachers.There are some problems in the training,such as unreasonable time,single mode and not deepening the understanding of the elderly with dementia.Conclusion:Long term care institutions shall arrange training no less than 12 times a year and evaluate training needs regularly to improve training effect.Providing online and offline training and adding more specialized contents like case analysis,employing experts in the field of dementia to teach courses.

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